| Sanjay Lodha Physician PC | |
|
45 72 Parsons Lewis Blvd Flushing NY 11355 | |
| (718) 886-4848 | |
| (718) 886-5418 |
| Full Name | Sanjay Lodha Physician PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 72 Parsons Lewis Blvd, Flushing, New York |
| Authorized Official Name and Position | Sanjay Lodha (PRESIDENT) |
| Authorized Official Contact | 7189633350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Lodha Physician PC 4572 Parsons Blvd Flushing NY 11355-2221 Ph: (718) 886-4848 | Sanjay Lodha Physician PC 45 72 Parsons Lewis Blvd Flushing NY 11355 Ph: (718) 886-4848 |
| NPI Number | 1356810063 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 01/08/2019 |
| Medicare PECOS PAC ID | 7214276906 |
|---|---|
| Medicare Enrollment ID | O20190225000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356810063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Sanjay Lodha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265595300 PECOS PAC ID: 7315830916 Enrollment ID: I20040206000324 |
| Provider Name | Anupama Lodha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669500898 PECOS PAC ID: 9830125376 Enrollment ID: I20050715000128 |
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