Provider Demographics
NPI:1457905168
Name:ADIANI, LEKHA UDHARAM (NP-C)
Entity type:Individual
Prefix:
First Name:LEKHA
Middle Name:UDHARAM
Last Name:ADIANI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 US HIGHWAY 19 S
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:GA
Mailing Address - Zip Code:31763-4878
Mailing Address - Country:US
Mailing Address - Phone:229-759-7028
Mailing Address - Fax:229-759-7030
Practice Address - Street 1:1205 US HIGHWAY 19 S
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:GA
Practice Address - Zip Code:31763-4878
Practice Address - Country:US
Practice Address - Phone:229-759-7028
Practice Address - Fax:229-759-7030
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN233648363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F06192792OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
GARN233648OtherGEORGIA SECRETARY OF STATE