Provider Demographics
NPI:1801246731
Name:REFAHIYAT, LAHDAN (MD)
Entity type:Individual
Prefix:
First Name:LAHDAN
Middle Name:
Last Name:REFAHIYAT
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 1:1470 MEDICAL PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4636
Mailing Address - Country:US
Mailing Address - Phone:775-445-7650
Mailing Address - Fax:
Practice Address - Street 1:1470 MEDICAL PKWY STE 160
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4636
Practice Address - Country:US
Practice Address - Phone:775-445-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301109990207RC0000X
NV24089207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease