Provider Demographics
NPI:1699010827
Name:LOHANI, SAILITA (NP)
Entity Type:Individual
Prefix:
First Name:SAILITA
Middle Name:
Last Name:LOHANI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2523 S 10TH AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-6760
Mailing Address - Country:US
Mailing Address - Phone:214-689-8079
Mailing Address - Fax:877-457-3988
Practice Address - Street 1:3050 REGENT BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3196
Practice Address - Country:US
Practice Address - Phone:214-689-2079
Practice Address - Fax:877-457-3988
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX827520363L00000X
IDNP-1362A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner