Provider Demographics
NPI:1972991008
Name:LAKHANI, HIRAL
Entity Type:Individual
Prefix:
First Name:HIRAL
Middle Name:
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 1:320 CRESCENT VILLAGE CIR
Mailing Address - Street 2:UNIT 1352
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-3047
Mailing Address - Country:US
Mailing Address - Phone:408-772-6864
Mailing Address - Fax:
Practice Address - Street 1:320 CRESCENT VILLAGE CIR
Practice Address - Street 2:UNIT 1352
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-3047
Practice Address - Country:US
Practice Address - Phone:408-772-6864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35598225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist