MEDICARE: LOQMAN MEDICAL CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	245556	NY
2	207RP1001X	Pulmonary Disease Physician	245556	NY
3	207R00000X	Internal Medicine Physician	245556	NY

General Provider Information

NPI Number	:	1265677959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOQMAN MEDICAL CARE, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 388
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-0388
Country	:	US
Telephone Number	:	917-769-2032
Fax Number	:

Provider Business Practice Location Address
First Line	:	2576 31ST ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-1749
Country	:	US
Telephone Number	:	718-726-1909
Fax Number	:	718-726-1909

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	NUVEED LOQMAN
Credential	:	M.D.
Telephone Number	:	917-769-2032

Provider Enumeration Date	:	12/09/2008
Last Update Date	:	04/22/2009

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