Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A145165 | CA |
N | 208000000X | Pediatrician | MT207633 | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | A145165 | CA |
NPI | 1053728824 |
---|---|
Provider Name | Shaina Khan Lodhi |
First Address | Highland, CA 92346-5042 |
Second Address | Loma Linda, CA 92354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 10/06/2020 |