Provider Demographics
NPI:1083949101
Name:SANJAY LAKHANI MD PC
Entity Type:Organization
Organization Name:SANJAY LAKHANI MD PC
Other - Org Name:HIGHLAND PARK HEALTH CTR
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:N
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-865-2800
Mailing Address - Street 1:13111 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-3781
Mailing Address - Country:US
Mailing Address - Phone:313-865-2800
Mailing Address - Fax:313-866-6661
Practice Address - Street 1:13111 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3781
Practice Address - Country:US
Practice Address - Phone:313-865-2800
Practice Address - Fax:313-866-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center