Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME105094 | FL |
N | 111NI0900X | Internist | ME105094 | FL |
Y | 207RR0500X | Rheumatology | ME105094 | FL |
NPI | 1003849050 |
---|---|
Provider Name | Dr. Abdul B. Lodhi |
First Address | Saint Cloud, FL 34769-6008 |
Second Address | Saint Cloud, FL 34769-6007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 24/09/2011 |