Provider Demographics
NPI:1467627695
Name:FAMILY ALLERGY & ASTHMA CARE CONSULTANTS LLC
Entity Type:Organization
Organization Name:FAMILY ALLERGY & ASTHMA CARE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANKAR
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-734-4434
Mailing Address - Street 1:200 BANNING ST STE 280
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3489
Mailing Address - Country:US
Mailing Address - Phone:302-734-4434
Mailing Address - Fax:302-734-4432
Practice Address - Street 1:200 BANNING STREET
Practice Address - Street 2:SUITE 280
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904
Practice Address - Country:US
Practice Address - Phone:302-734-4434
Practice Address - Fax:302-734-4432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006683207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1134181613OtherINDIVIDUAL NPI