Provider Demographics
NPI:1104088962
Name:MERAJ, PERWAIZ MOHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:PERWAIZ
Middle Name:MOHAMMAD
Last Name:MERAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 BRAGG ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5118
Mailing Address - Country:US
Mailing Address - Phone:718-646-6437
Mailing Address - Fax:718-267-9222
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:C/O NORTH SHORE UNIVERSITY HOSPITAL
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3816
Practice Address - Country:US
Practice Address - Phone:516-562-0100
Practice Address - Fax:516-562-3555
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244499207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease