MEDICARE: DR. SHAHEEN EMMANUEL LAKHAN MD, PHD, FAAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	U1321	TX
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	ME152534	FL
3	2084N0400X	Neurology Physician	0101263215	VA
4	2084N0400X	Neurology Physician	35.120308	OH
5	2084N0400X	Neurology Physician	ME152534	FL
6	2084N0400X	Neurology Physician	C3081	KY
7	2084N0400X	Neurology Physician	4301508015	MI
8	2084P0800X	Psychiatry Physician	ME152534	FL

General Provider Information

NPI Number	:	1649585944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHEEN EMMANUEL LAKHAN MD, PHD, FAAN

Provider Business Mailing Address
First Line	:	1050 BRICKELL AVE UNIT 3018
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 BRICKELL AVE UNIT 3018
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33131
Country	:	US
Telephone Number	:	818-574-3062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	02/01/2026

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