Provider Demographics
NPI:1184938045
Name:LALANI, FAZILA NAUSHIR (MD)
Entity type:Individual
Prefix:
First Name:FAZILA
Middle Name:NAUSHIR
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 1:60 BRIDLEWOOD WAY APT C41
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-7348
Mailing Address - Country:US
Mailing Address - Phone:917-815-2524
Mailing Address - Fax:
Practice Address - Street 1:60 BRIDLEWOOD WAY APT C41
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-7348
Practice Address - Country:US
Practice Address - Phone:917-815-2524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT198413207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine