Provider Demographics
NPI:1972831147
Name:LAKHANI, NAHEED AMIN
Entity Type:Individual
Prefix:
First Name:NAHEED
Middle Name:AMIN
Last Name:LAKHANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3629 HENLEY PARK CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-4191
Mailing Address - Country:US
Mailing Address - Phone:404-542-7238
Mailing Address - Fax:
Practice Address - Street 1:3629 HENLEY PARK CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-4191
Practice Address - Country:US
Practice Address - Phone:404-542-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA208D00000X208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice