Provider Demographics
NPI:1679551667
Name:SORIYA, LASHMAN W (MD)
Entity Type:Individual
Prefix:DR
First Name:LASHMAN
Middle Name:W
Last Name:SORIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LASHMAN
Other - Middle Name:W
Other - Last Name:SORIYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,FACS,FICS
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:SUITE 340 W
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7506
Mailing Address - Country:US
Mailing Address - Phone:406-237-5760
Mailing Address - Fax:406-237-5799
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:SUITE 340 W
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7506
Practice Address - Country:US
Practice Address - Phone:406-237-5760
Practice Address - Fax:406-237-5799
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3702207T00000X
WY6246A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0144381Medicaid
D96124Medicare UPIN
MT0144381Medicaid