Provider Demographics
NPI:1073588588
Name:GHUMAN, NEMAAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEMAAN
Middle Name:
Last Name:GHUMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8641 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2508
Mailing Address - Country:US
Mailing Address - Phone:718-849-3338
Mailing Address - Fax:718-849-3166
Practice Address - Street 1:8641 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2508
Practice Address - Country:US
Practice Address - Phone:718-849-3338
Practice Address - Fax:718-849-3166
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-18
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006146213E00000X
NYN-006146213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02979748Medicaid
NYG400001016Medicare PIN