Provider Demographics
NPI:1003225830
Name:HUMA Y. LODHI MD PA
Entity Type:Organization
Organization Name:HUMA Y. LODHI MD PA
Other - Org Name:EL PASO KIDS KLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LODHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-225-3807
Mailing Address - Street 1:11351 JAMES WATT DR
Mailing Address - Street 2:BLDG F
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6627
Mailing Address - Country:US
Mailing Address - Phone:915-225-3807
Mailing Address - Fax:915-225-3814
Practice Address - Street 1:11351 JAMES WATT DR
Practice Address - Street 2:BLDG F
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6627
Practice Address - Country:US
Practice Address - Phone:915-225-3807
Practice Address - Fax:915-225-3814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8303208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty