Healthcare Provider Details

I. General information

NPI: 1356113450
Provider Name (Legal Business Name): SHAHEEN LAKHAN, MD, PHD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 BRICKELL AVE UNIT 3018
MIAMI FL
33131-3913
US

IV. Provider business mailing address

1050 BRICKELL AVE UNIT 3018
MIAMI FL
33131-3913
US

V. Phone/Fax

Practice location:
  • Phone: 818-574-3062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAHEEN LAKHAN
Title or Position: SOLE MEMBER
Credential: MD
Phone: 818-574-3062