Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 51759 | CO |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 51759 | CO |
NPI | 1104082841 |
---|---|
Provider Name | Dr. Sameer Jagan Lodha |
First Address | Golden, CO 80401-9541 |
Second Address | Golden, CO 80401-9541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 02/01/2018 |