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Individual

SOURABH LAHOTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD-47371
IA
2084V0102X
Vascular Neurology Physician
036160795
IL
2084V0102X
Vascular Neurology Physician
Primary
75574
GA
2084V0102X
Vascular Neurology Physician
MD-47371
IA

Other

Enumeration date
11/15/2012
Last updated
09/10/2025
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