Provider Demographics
NPI:1912018359
Name:LAKHANI, AVANI R (MD)
Entity Type:Individual
Prefix:
First Name:AVANI
Middle Name:R
Last Name:LAKHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 KANOA ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-5816
Mailing Address - Country:US
Mailing Address - Phone:808-244-0401
Mailing Address - Fax:
Practice Address - Street 1:71 KANOA ST STE 2018
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-5816
Practice Address - Country:US
Practice Address - Phone:808-244-0401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-13987207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI588741-02Medicaid
HI000026251OtherHMSA BILLING NUMBER
HIH65553Medicare UPIN
CAH65553Medicare UPIN
HI588741-02Medicaid