Healthcare Provider Details

I. General information

NPI: 1265677959
Provider Name (Legal Business Name): LOQMAN MEDICAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 04/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2576 31ST ST
ASTORIA NY
11102-1749
US

IV. Provider business mailing address

PO BOX 388
WOODMERE NY
11598-0388
US

V. Phone/Fax

Practice location:
  • Phone: 718-726-1909
  • Fax: 718-726-1909
Mailing address:
  • Phone: 917-769-2032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number245556
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number245556
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number245556
License Number StateNY

VIII. Authorized Official

Name: NUVEED LOQMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 917-769-2032