Provider Demographics
NPI:1407168099
Name:LAL BHAGCHANDANI M D P A
Entity Type:Organization
Organization Name:LAL BHAGCHANDANI M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHAGCHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-917-4941
Mailing Address - Street 1:2825 N STATE ROAD 7
Mailing Address - Street 2:STE 201
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-917-4941
Mailing Address - Fax:954-917-4940
Practice Address - Street 1:2825 N STATE ROAD 7
Practice Address - Street 2:STE 201
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-917-4941
Practice Address - Fax:954-917-4940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79999207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258659200Medicaid
F98031Medicare UPIN
FL258659200Medicaid