1649024829 NPI number — YASHA JAIN LODHA MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649024829 NPI number — YASHA JAIN LODHA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LODHA
Provider First Name:
YASHA JAIN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LODHA
Provider Other First Name:
R. YASHA JAIN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1649024829
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
11/29/2024
NPI Reactivation Date:
03/16/2026

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
81 GIRAYS HILL, BEDFORD
Provider Second Line Business Mailing Address:
THE NILGIRIS
Provider Business Mailing Address City Name:
COONOOR
Provider Business Mailing Address State Name:
TAMILNADU
Provider Business Mailing Address Postal Code:
643101
Provider Business Mailing Address Country Code:
IN
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
597 PARK AVENUE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
FREEHOLD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-294-4009
Provider Business Practice Location Address Fax Number:
732-409-2621
Provider Enumeration Date:
04/15/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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