MEDICARE: DR. NAHEED Z QAYUM M.D.

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	207R00000X	Internal Medicine Physician	MD.10691R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275642605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAHEED Z QAYUM M.D.

Provider Business Mailing Address
First Line	:	3724 LAKE ASPEN DR W
Second Line	:	SUITE 10
City	:	GRETNA
State	:	LA
Zip	:	70056-8305
Country	:	US
Telephone Number	:	504-982-6469
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 RUE DE SANTE
Second Line	:	SUITE 10
City	:	LA PLACE
State	:	LA
Zip	:	70068-5400
Country	:	US
Telephone Number	:	505-393-0040
Fax Number	:	504-393-0040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/21/2022

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