Individual
UMAIRULLAH LODHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 549-0677
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME148429
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME148429
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110946300
—
FL
01
—
PENDING
MEDICARE HF
FL
Enumeration date
04/19/2014
Last updated
09/06/2022
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