Provider Demographics
NPI:1548207533
Name:LAKHI M. SAKHRANI MD, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:LAKHI M. SAKHRANI MD, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKHI
Authorized Official - Middle Name:MULCHAND
Authorized Official - Last Name:SAKHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-281-1903
Mailing Address - Street 1:PO BOX 7150
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-7150
Mailing Address - Country:US
Mailing Address - Phone:626-281-1903
Mailing Address - Fax:626-281-4536
Practice Address - Street 1:328 S 1ST ST
Practice Address - Street 2:SUITE H
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3707
Practice Address - Country:US
Practice Address - Phone:626-281-1903
Practice Address - Fax:626-281-4536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG39964174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0058500Medicaid
CAPA13660OtherPA LISCENSE
CAW19913Medicare PIN
CAGR0058500Medicaid