Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 128662 | NY |
NPI | 1003951377 |
---|---|
Provider Name | Dr. Narendra Mal Lodha |
First Address | Brooklyn, NY 11211-7467 |
Second Address | Brooklyn, NY 11211-7467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00237852 | (05) | NY |
B12635 | (02) |