Healthcare Provider Details

I. General information

NPI: 1629033642
Provider Name (Legal Business Name): PILAR LACHHWANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-1951
US

IV. Provider business mailing address

2749 SHAKER CREST BLVD
BEACHWOOD OH
44122-2323
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2200
  • Fax:
Mailing address:
  • Phone: 216-548-9732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35082057
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: