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General NPI Number Information
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NPI Number | 1801834528
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Entity Type | Individual
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Provider Name | SANJAY LAHIRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 600 N RICHARDSON AVE
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City | ROSWELL
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State | NM
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Zip | 88201-4828
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Country | US
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Telephone | 505-622-5600
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Fax | 505-622-3720
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Provider Business Mailing Address
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Address Line | PO BOX 2208
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City | ROSWELL
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State | NM
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Zip | 88202-2208
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Country | US
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Telephone | 575-622-5600
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Fax | 505-622-3720
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | MD2004-0128
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | MD2004-0128
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207ZI0100X
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Taxonomy Name | Immunopathology Physician
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License Number | MD2004-0128
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | MD2004-0128
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License Number State | NM
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