Healthcare Provider Details

I. General information

NPI: 1720053770
Provider Name (Legal Business Name): RAJAN S LAKHIA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE STE 6162
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

PO BOX 632832
CINCINNATI OH
45263-2832
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2410
  • Fax: 513-585-1057
Mailing address:
  • Phone: 513-585-2410
  • Fax: 513-585-1057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number34-007666
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34-007666
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: