Provider Demographics
NPI:1083694954
Name:LAHIRY, ANUP KUMAR (MD)
Entity type:Individual
Prefix:
First Name:ANUP
Middle Name:KUMAR
Last Name:LAHIRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 W EXCHANGE ST STE 160
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1705
Mailing Address - Country:US
Mailing Address - Phone:330-344-6505
Mailing Address - Fax:
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:770-297-5700
Practice Address - Fax:770-718-1877
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA045527207RH0000X, 207RX0202X
OH35C.001386207RX0202X
WI3478207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4408586OtherAETNA
GA52584815OtherBCBS
GA000795407EMedicaid
GA11170947OtherMULTIPLAN
GA5803210OtherCIGNA
GA10045328OtherAMERIGROUP
GAP00021052OtherRR MEDICARE-GRP # CC4177
GA000795407GMedicaid
GA340864OtherWELLCARE
GA3600053OtherUNITED HEALTHCARE
GA11170947OtherMULTIPLAN
GA000795407EMedicaid