Provider Demographics
NPI:1124814868
Name:LAKHANI, NISHANT
Entity type:Individual
Prefix:
First Name:NISHANT
Middle Name:
Last Name:LAKHANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W MICHIGAN ST APT 238
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3231
Mailing Address - Country:US
Mailing Address - Phone:845-655-9669
Mailing Address - Fax:
Practice Address - Street 1:188 CHASE AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-2245
Practice Address - Country:US
Practice Address - Phone:203-754-3818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program