Provider Demographics
NPI:1720053770
Name:LAKHIA, RAJAN S (DO)
Entity Type:Individual
Prefix:DR
First Name:RAJAN
Middle Name:S
Last Name:LAKHIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632832
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2832
Mailing Address - Country:US
Mailing Address - Phone:513-585-2410
Mailing Address - Fax:513-585-1057
Practice Address - Street 1:2139 AUBURN AVE
Practice Address - Street 2:STE 6162
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-2410
Practice Address - Fax:513-585-1057
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-007666208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200445590Medicaid
KY64070139Medicaid
OH2418619Medicaid
OHP00047446OtherRR MEDICARE
OHH86299Medicare UPIN
KY64070139Medicaid