Jaiani, Lasha

Jaiani, Lasha is an sole proprietor health care provider with primary practice located at 969 Main St Suite D, Fishkill NY 12524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Jaiani, Lasha can be contacted via phone (845) 896-7730.

Contact Information

Primary practice address
969 Main St Suite D Fishkill NY 12524
Phone: (845) 896-7730
Fax: (845) 896-0273
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 251315 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 251315-1 New York

Profile Details

NPI number 1538289988
LBN Legal business name Jaiani, Lasha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Jun 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538289988 NPPES
New York MEDICAID 04325884

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