Active NPI
Sanjeev Shivaji Lahane, C.S.A.
- Surgical Assistant
- Mishawaka, IN
National Provider Identifier
1023280146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238000172
- Practice address
- 5811 Winamac Lake Dr
Apt.1a
Mishawaka, IN 46545-8499 - Phone
- (574) 273-9121
- NPI assigned
- Mar 28, 2008
- Last updated
- Nov 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238000172 | IL | Primary |
Addresses
Primary practice location
5811 Winamac Lake Dr
Apt.1a
Mishawaka, IN 46545-8499
Mailing address
5811 Winamac Lake Dr
Apt.1a
Mishawaka, IN 46545-8499
Phone (574) 273-9121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000172 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226448000000",
"number": "1023280146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 WINAMAC LAKE DR",
"address_2": "APT.1A",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465458499",
"telephone_number": "574-273-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5811 WINAMAC LAKE DR",
"address_2": "APT.1A",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465458499",
"telephone_number": "574-273-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAHANE",
"first_name": "SANJEEV",
"middle_name": "SHIVAJI",
"name_prefix": "Dr.",
"credential": "C.S.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-28",
"last_updated": "2008-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238000172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.