Provider Demographics
NPI:1356827182
Name:LODHI, SAMEED KHALID (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMEED
Middle Name:KHALID
Last Name:LODHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1265 GRAHAM RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8018
Mailing Address - Country:US
Mailing Address - Phone:314-741-1600
Mailing Address - Fax:314-741-1677
Practice Address - Street 1:1265 GRAHAM RD STE 1
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8018
Practice Address - Country:US
Practice Address - Phone:314-741-1600
Practice Address - Fax:314-741-1677
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.072617207R00000X
NCRTL21-0071207RN0300X
MO2022049889207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine