Healthcare Provider Details

I. General information

NPI: 1811180979
Provider Name (Legal Business Name): RANJIT K. LAHA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PINE ST STE 8
JAMESTOWN NY
14701-5331
US

IV. Provider business mailing address

500 PINE ST STE 8
JAMESTOWN NY
14701-5331
US

V. Phone/Fax

Practice location:
  • Phone: 716-664-4701
  • Fax: 716-664-4360
Mailing address:
  • Phone: 716-664-4701
  • Fax: 716-664-4360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number135790
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number135790
License Number StateNY

VIII. Authorized Official

Name: DR. RANJIT K LAHA
Title or Position: NEUROSURGEON
Credential: M,D
Phone: 716-664-4701