Provider Demographics
NPI:1063704609
Name:LOHARIKAR, ANAGHA (MD)
Entity type:Individual
Prefix:
First Name:ANAGHA
Middle Name:
Last Name:LOHARIKAR
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 1:324 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-1539
Mailing Address - Country:US
Mailing Address - Phone:347-224-8055
Mailing Address - Fax:
Practice Address - Street 1:2300 CHILDREN'S PLAZA #16
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:773-880-8399
Practice Address - Fax:773-281-4237
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA64855208000000X
IL036128367208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics