Healthcare Provider Details

I. General information

NPI: 1134181613
Provider Name (Legal Business Name): SHANKAR LAKHANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WOLF CREEK BLVD STE 1
DOVER DE
19901-4967
US

IV. Provider business mailing address

103 WOLF CREEK BLVD STE 1
DOVER DE
19901-4967
US

V. Phone/Fax

Practice location:
  • Phone: 302-734-4434
  • Fax:
Mailing address:
  • Phone: 302-734-4434
  • Fax: 302-734-4432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberCI0006683
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: