MEDICARE: DR. VIKIN MULKANT LALAN M.D.

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	207R00000X	Internal Medicine Physician	MT196806	PA
2	207R00000X	Internal Medicine Physician	25MA10858200	NJ
3	207R00000X	Internal Medicine Physician	MD449155	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29874394	OTHER	PA	STATE ID

General Provider Information

NPI Number	:	1750693834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIKIN MULKANT LALAN M.D.

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:	5CW SLIM
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	484-868-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1872 ST LUKES BLVD
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-5669
Country	:	US
Telephone Number	:	484-526-6643
Fax Number	:

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

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	07/16/2025

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