Provider Demographics
NPI:1023706132
Name:LAKHANI, ANSAR HUSSAIN
Entity type:Individual
Prefix:
First Name:ANSAR
Middle Name:HUSSAIN
Last Name:LAKHANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 FORD RD STE B126
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7243
Mailing Address - Country:US
Mailing Address - Phone:800-484-6756
Mailing Address - Fax:
Practice Address - Street 1:12100 FORD RD STE B126
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-7243
Practice Address - Country:US
Practice Address - Phone:800-484-6756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies