Provider Demographics
NPI:1437349974
Name:LODHA, ANAND K (MD)
Entity Type:Individual
Prefix:
First Name:ANAND
Middle Name:K
Last Name:LODHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:221 W COLORADO BLVD
Mailing Address - Street 2:PAVILION II SUITE 644
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2363
Mailing Address - Country:US
Mailing Address - Phone:214-943-1171
Mailing Address - Fax:214-298-2148
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:PAVILION II SUITE 644
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2363
Practice Address - Country:US
Practice Address - Phone:214-943-1171
Practice Address - Fax:214-298-2148
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2021-11-05
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Provider Licenses
StateLicense IDTaxonomies
TXN6915208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX631378YKQJOtherMEDICARE