Most Relevant Information
Provider Data
| NPI Number: | 1003000902 |
| Provider Name: | JAIVANTI LOHANO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 01063381A |
Most Important Dates
| Enumeration Date: | 09/04/2007 |
| Last Updated: | 12/08/2020 |
Provider Practice Location
2215 PORTLAND AVE
LOUISVILLE
KY
402121033
Practice Location Phone/Fax
| Phone: | 5027748631 |
| Fax: | 5027783499 |
Provider Mailing Location
2215 PORTLAND AVE
LOUISVILLE
KY
402121033
Provider Mailing Phone/Fax
| Phone: | 5027748631 |
| Fax: | 5027783499 |
Suggested EMR
Family Practice EMR