Provider Demographics
NPI:1427675529
Name:LAKHANI, KARISHMA (PA-C)
Entity type:Individual
Prefix:
First Name:KARISHMA
Middle Name:
Last Name:LAKHANI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6224 BELLECLIFF RUN
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-8628
Mailing Address - Country:US
Mailing Address - Phone:404-918-7922
Mailing Address - Fax:
Practice Address - Street 1:6224 BELLECLIFF RUN
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-8628
Practice Address - Country:US
Practice Address - Phone:404-918-7922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant