Provider Demographics
NPI:1992783450
Name:LAHA, DAVID B (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:LAHA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 W 129TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2624
Mailing Address - Country:US
Mailing Address - Phone:913-338-4440
Mailing Address - Fax:913-338-1712
Practice Address - Street 1:7230 W 129TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2624
Practice Address - Country:US
Practice Address - Phone:913-338-4440
Practice Address - Fax:913-338-1712
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1200201213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11557016OtherBLUE CROSS/BLUE SHIELD
KSQ995676Medicare PIN
KS11557016OtherBLUE CROSS/BLUE SHIELD