Provider Demographics
NPI:1316906738
Name:LOHANO, VASDEV (MD)
Entity type:Individual
Prefix:DR
First Name:VASDEV
Middle Name:
Last Name:LOHANO
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:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-0760
Mailing Address - Country:US
Mailing Address - Phone:812-254-7310
Mailing Address - Fax:812-257-8062
Practice Address - Street 1:1314 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-2860
Practice Address - Country:US
Practice Address - Phone:812-254-2250
Practice Address - Fax:812-257-7080
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01053199A207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200340890Medicaid
INCG3197OtherMEDICARE RAILROAD GROUP
IN000000201551OtherANTHEM
IN200340890Medicaid
INH20798Medicare UPIN
IN941190EEEEMedicare ID - Type Unspecified