Provider Demographics
NPI:1649876467
Name:KHAREL, LAXMI
Entity type:Individual
Prefix:
First Name:LAXMI
Middle Name:
Last Name:KHAREL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAXMI
Other - Middle Name:
Other - Last Name:DHIMAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5366 W LANARK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58203-0601
Mailing Address - Country:US
Mailing Address - Phone:605-323-9936
Mailing Address - Fax:
Practice Address - Street 1:5366 W LANARK DR
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58203-0601
Practice Address - Country:US
Practice Address - Phone:605-323-9936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant