Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 045284 | GA |
NPI | 1083641591 |
---|---|
Provider Name | Umbreen Saheed Lodi |
First Address | Atlanta, GA 30309-2511 |
Second Address | Atlanta, GA 30339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 26/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000791216J | (05) | GA |
825727 | BCBS (01) | |
8747114007 | CIGNA (01) | |
AA29255 | HARVARD PILGRIM HLTHCARE (01) | |
F56951 | (02) | |
P00269361 | RAILROAD MEDICARE (01) | GA |