Provider Demographics
NPI:1982833851
Name:LODHI, AHAD AFTAB KHAN (MD)
Entity Type:Individual
Prefix:
First Name:AHAD
Middle Name:AFTAB KHAN
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 1:333 DR MICHAEL DEBAKEY DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5889
Mailing Address - Country:US
Mailing Address - Phone:337-494-7090
Mailing Address - Fax:337-494-7040
Practice Address - Street 1:333 DR MICHAEL DEBAKEY DR
Practice Address - Street 2:SUITE 140
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5889
Practice Address - Country:US
Practice Address - Phone:337-494-7090
Practice Address - Fax:337-494-7040
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446499207R00000X
PAMT194170390200000X
LAMD207664207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program