1083694954 NPI number — ANUP KUMAR LAHIRY MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083694954 NPI number — ANUP KUMAR LAHIRY MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

LAHIRY

Provider First Name:

ANUP

Provider Middle Name:

KUMAR

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1083694954

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/27/2025

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

224 W EXCHANGE ST STE 160

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

AKRON

Provider Business Mailing Address State Name:

OH

Provider Business Mailing Address Postal Code:

44302-1705

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

330-344-6505

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

4561 THORNBURY CLOSE WAY

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

FLOWERY BRANCH

Provider Business Practice Location Address State Name:

GA

Provider Business Practice Location Address Postal Code:

30542-3749

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

770-287-8350

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

01/18/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RH0000X , with the licence number:  045527 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207RX0202X , with the licence number: 35C.001386 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207RX0202X , with the licence number: 045527 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207RH0003X , with the licence number: 3478 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 52584815 . This is a "BCBS" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: P00021052 . This is a "RR MEDICARE-GRP # CC4177" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: 10045328 . This is a "AMERIGROUP" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: 3600053 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: 340864 . This is a "WELLCARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: 4408586 . This is a "AETNA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: 5803210 . This is a "CIGNA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
• Identifier: 11170947 . This is a "MULTIPLAN" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".