Provider Demographics
NPI:1841304607
Name:OWAID, NIHAD
Entity type:Individual
Prefix:
First Name:NIHAD
Middle Name:
Last Name:OWAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 OVINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1701
Mailing Address - Country:US
Mailing Address - Phone:718-745-4088
Mailing Address - Fax:718-745-2414
Practice Address - Street 1:533 OVINGTON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1701
Practice Address - Country:US
Practice Address - Phone:718-745-4088
Practice Address - Fax:718-745-2414
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164347207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA64425Medicare UPIN
NY82D601Medicare PIN