Provider Demographics
NPI:1447539127
Name:LAKHANI, MUMTAZ (MD)
Entity type:Individual
Prefix:DR
First Name:MUMTAZ
Middle Name:
Last Name:LAKHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MUMTAZ
Other - Middle Name:
Other - Last Name:LAKHANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11401 DYLAN PL
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-2166
Mailing Address - Country:US
Mailing Address - Phone:818-366-3022
Mailing Address - Fax:
Practice Address - Street 1:11401 DYLAN PL
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2166
Practice Address - Country:US
Practice Address - Phone:818-366-3022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85685208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine