Provider Demographics
NPI:1194717439
Name:LOQMAN, NUVEED (MD)
Entity type:Individual
Prefix:
First Name:NUVEED
Middle Name:
Last Name:LOQMAN
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:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-0388
Mailing Address - Country:US
Mailing Address - Phone:718-726-1909
Mailing Address - Fax:718-726-1911
Practice Address - Street 1:2576 31ST ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-1749
Practice Address - Country:US
Practice Address - Phone:718-726-1909
Practice Address - Fax:718-726-1911
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245556207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY030701088Medicaid
H91127Medicare UPIN
NY030701088Medicaid