Provider Demographics
NPI:1811180979
Name:RANJIT K. LAHA PC
Entity type:Organization
Organization Name:RANJIT K. LAHA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROSURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:RANJIT
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAHA
Authorized Official - Suffix:
Authorized Official - Credentials:M,D
Authorized Official - Phone:716-664-4701
Mailing Address - Street 1:500 PINE ST STE 8
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-5331
Mailing Address - Country:US
Mailing Address - Phone:716-664-4701
Mailing Address - Fax:716-664-4360
Practice Address - Street 1:500 PINE ST STE 8
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-5331
Practice Address - Country:US
Practice Address - Phone:716-664-4701
Practice Address - Fax:716-664-4360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135790305R00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB81262Medicare UPIN