Provider Demographics
NPI:1205831534
Name:LAHOOD, MICHAEL (MD PC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:LAHOOD
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DUNKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-2504
Mailing Address - Country:US
Mailing Address - Phone:716-366-6300
Mailing Address - Fax:716-366-5104
Practice Address - Street 1:749 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-2504
Practice Address - Country:US
Practice Address - Phone:716-366-6300
Practice Address - Fax:716-366-5104
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY188878-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01344403Medicaid
NYE16190Medicare UPIN
NY55143BMedicare PIN