Provider Demographics
NPI:1104870401
Name:LAKHANPAL, ROHIT R (MD)
Entity type:Individual
Prefix:
First Name:ROHIT
Middle Name:R
Last Name:LAKHANPAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21 CROSSROADS DR
Mailing Address - Street 2:SUITE 425
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5441
Mailing Address - Country:US
Mailing Address - Phone:410-581-2020
Mailing Address - Fax:410-654-9264
Practice Address - Street 1:21 CROSSROADS DR
Practice Address - Street 2:SUITE 425
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5441
Practice Address - Country:US
Practice Address - Phone:410-581-2020
Practice Address - Fax:410-654-9264
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2021-03-08
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Provider Licenses
StateLicense IDTaxonomies
MDD0058150207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD699647700Medicaid
MDH53469Medicare UPIN