Provider Demographics
NPI:1003849050
Name:LODHI, ABDUL B (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:B
Last Name:LODHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 BUDINGER AVE
Mailing Address - Street 2:STE A
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-6008
Mailing Address - Country:US
Mailing Address - Phone:407-498-0056
Mailing Address - Fax:407-498-0057
Practice Address - Street 1:1600 BUDINGER AVE STE A
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6007
Practice Address - Country:US
Practice Address - Phone:407-498-0056
Practice Address - Fax:407-498-0057
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105094207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine