Mid-Mo Lung Associates, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

117893 Issued in MO

Legal business name

MID-MO LUNG ASSOCIATES, LLC

Practice address

1801 Brookfield MNR
Columbia, MO 65203-6246

Phone

(573) 815-7118

NPI assigned

Aug 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Humayun Lodhi, MD

Title

Owner

Phone

(573) 815-7118

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1851671689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BROOKFIELD MNR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036246",
            "telephone_number": "573-815-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BROOKFIELD MNR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036246",
            "telephone_number": "573-815-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MO LUNG ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "LODHI",
        "authorized_official_first_name": "HUMAYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-815-7118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "117893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500193800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.