Provider Demographics
NPI:1265405153
Name:DRS BOB LAKHANI ZIBELL PIERCE & MILLER
Entity type:Organization
Organization Name:DRS BOB LAKHANI ZIBELL PIERCE & MILLER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:BENTON
Authorized Official - Last Name:BOB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-526-8310
Mailing Address - Street 1:25 MAIN STREET S 200
Mailing Address - Street 2:SUITE 200
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136
Mailing Address - Country:US
Mailing Address - Phone:410-526-8310
Mailing Address - Fax:410-526-8316
Practice Address - Street 1:25 MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-1298
Practice Address - Country:US
Practice Address - Phone:410-526-8310
Practice Address - Fax:410-526-8316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG02316Medicare PIN
MDH348Medicare PIN