Provider Demographics
NPI:1083641591
Name:LODI, UMBREEN SAHEED (MD)
Entity Type:Individual
Prefix:
First Name:UMBREEN
Middle Name:SAHEED
Last Name:LODI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1800 PEACHTREE ST. NW
Mailing Address - Street 2:SUITE 720
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2511
Mailing Address - Country:US
Mailing Address - Phone:404-351-7520
Mailing Address - Fax:404-355-2048
Practice Address - Street 1:2740 BERT ADAMS RD. NW
Practice Address - Street 2:SUITE 150
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:404-351-7520
Practice Address - Fax:404-355-2048
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA045284207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
8747114007OtherCIGNA
GA000791216JMedicaid
825727OtherBCBS
AA29255OtherHARVARD PILGRIM HLTHCARE
GAP00269361OtherRAILROAD MEDICARE
GA03BDBRNMedicare ID - Type Unspecified
825727OtherBCBS