Individual
M. ASLAM KHAN LODHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 CENTRAL AVENUE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6145
(505) 724-6125
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
44871
CO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD2001-244
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N4608
—
NM
01
—
NM007E65
BCBS
NM
Enumeration date
10/25/2006
Last updated
03/23/2020
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