Provider Demographics
NPI:1982693065
Name:LAKHANI, SARADKUMAR M (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARADKUMAR
Middle Name:M
Last Name:LAKHANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:S
Other - Middle Name:M
Other - Last Name:LAKHANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:424 N AUSTIN BLVD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-2752
Mailing Address - Country:US
Mailing Address - Phone:708-848-9096
Mailing Address - Fax:
Practice Address - Street 1:424 N AUSTIN BLVD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2752
Practice Address - Country:US
Practice Address - Phone:708-848-9096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice