Healthcare Provider Details

I. General information

NPI: 1467627695
Provider Name (Legal Business Name): FAMILY ALLERGY & ASTHMA CARE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
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: 302-734-4432
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 NumberC1-0006683
License Number StateDE

VIII. Authorized Official

Name: DR. SHANKAR L LAKHANI
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 302-734-4434