Provider Demographics
NPI:1508189309
Name:LAHORE MEDICAL, PLLC
Entity Type:Organization
Organization Name:LAHORE MEDICAL, PLLC
Other - Org Name:MARKHAM MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SIKANDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MURAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-226-5875
Mailing Address - Street 1:100 N FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3322
Mailing Address - Country:US
Mailing Address - Phone:870-226-5875
Mailing Address - Fax:888-388-5166
Practice Address - Street 1:100 N FILLMORE ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3322
Practice Address - Country:US
Practice Address - Phone:870-226-5875
Practice Address - Fax:888-388-5166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE 4470208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5G614Medicare PIN