Healthcare Provider Details

I. General information

NPI: 1861849747
Provider Name (Legal Business Name): FARAH LAKHRAM DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 MEETING ST
WEST COLUMBIA SC
29169-7535
US

IV. Provider business mailing address

6021 142ND AVE N
CLEARWATER FL
33760-2822
US

V. Phone/Fax

Practice location:
  • Phone: 727-796-6900
  • Fax: 727-669-8417
Mailing address:
  • Phone: 727-796-6900
  • Fax: 727-669-8417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00355000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: