Provider Demographics
NPI:1942496997
Name:LALANI, TAHANIYAT (MD)
Entity Type:Individual
Prefix:MS
First Name:TAHANIYAT
Middle Name:
Last Name:LALANI
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 1:620 JOHN PAUL JONES CIR BLDG 31
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708-2111
Mailing Address - Country:US
Mailing Address - Phone:757-953-5179
Mailing Address - Fax:757-953-5514
Practice Address - Street 1:620 JOHN PAUL JONES CIR BLDG 31
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-5179
Practice Address - Fax:757-953-5514
Is Sole Proprietor?:No
Enumeration Date:2007-09-23
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243563207RI0200X
NC110229207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10033741OtherSENTARA/OPTIMA
VA9192142OtherAETNA
VA-032OtherTRICARE/CHAMPUS
VA1942496997Medicaid
VAPAROtherMULTIPLAN
VAPAROtherVA PREMIER HEALTH
VAPAROtherVA HEALTH NETWORK
NC09412OtherNC BC/BS
NC5909412Medicaid
VAPAROtherUSA MANAGED CARE
VA1122750OtherCIGNA
VAPAROtherFIRST HEALTH COMMERCIAL
VA354919OtherANTHEM BC/BS
VAPAROtherCORVEL/CORCARE
VA2179822OtherUHC/MAMSI
VA9192142OtherAETNA
NC5909412Medicaid