1891904108 NPI number — MRS. BILQUIS NAVIWALA MD

Table of content: MRS. BILQUIS NAVIWALA MD (NPI 1891904108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891904108 NPI number — MRS. BILQUIS NAVIWALA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAVIWALA
Provider First Name:
BILQUIS
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891904108
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
86-16 60TH AVE
Provider Second Line Business Mailing Address:
APT #2H
Provider Business Mailing Address City Name:
ELMHURST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11373-5510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-386-4409
Provider Business Mailing Address Fax Number:
718-386-4409

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
252 WYCKOFF AVE
Provider Second Line Business Practice Location Address:
1 R
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-386-4409
Provider Business Practice Location Address Fax Number:
718-386-4409
Provider Enumeration Date:
05/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  197249 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 197249A85 . This is a "HEALTH FIRST HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 219990 . This is a "WELLCARE OF NY MEDICAL PL" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 11227421 . This is a "MULTI HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 197249NY . This is a "1199 HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 212752 . This is a "WELLCARE NY MEDICAL PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5B865 . This is a "BLUECROSS BLUE SHIELD HEA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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