Provider Demographics
NPI:1144965211
Name:LOHANI, SHRADDHA (MD-AP)
Entity type:Individual
Prefix:DR
First Name:SHRADDHA
Middle Name:
Last Name:LOHANI
Suffix:
Gender:F
Credentials:MD-AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 BALLYSHANNON CT
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7943
Mailing Address - Country:US
Mailing Address - Phone:360-433-1325
Mailing Address - Fax:
Practice Address - Street 1:13013 FULLER AVE, GRANDVIEW, MO
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:63040-6304
Practice Address - Country:US
Practice Address - Phone:360-433-1325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO202005534208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice