Provider Demographics
NPI:1114103694
Name:HARAN, MEHANDI (MD)
Entity Type:Individual
Prefix:
First Name:MEHANDI
Middle Name:
Last Name:HARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 AMBASSADOR CAFFERY PKWY STE 401A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7265
Mailing Address - Country:US
Mailing Address - Phone:337-470-3040
Mailing Address - Fax:337-470-3052
Practice Address - Street 1:4811 AMBASSADOR CAFFERY PKWY STE 401A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7265
Practice Address - Country:US
Practice Address - Phone:337-470-3040
Practice Address - Fax:337-470-3052
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD447897207R00000X, 207RC0200X, 207RP1001X
LAMD.206899207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine