Healthcare Provider Details

I. General information

NPI: 1811646482
Provider Name (Legal Business Name): ERUM LODHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4824 E BASELINE RD STE 125
MESA AZ
85206-4679
US

IV. Provider business mailing address

9827 N 95TH ST STE 105
SCOTTSDALE AZ
85258-4591
US

V. Phone/Fax

Practice location:
  • Phone: 480-839-4848
  • Fax:
Mailing address:
  • Phone: 480-590-1708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number78982
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: