Provider Demographics
NPI:1235139106
Name:LOSHIGIAN, MICHAEL H (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:LOSHIGIAN
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 1:16216 UNION TPKE
Mailing Address - Street 2:STE 306
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1960
Mailing Address - Country:US
Mailing Address - Phone:718-380-7900
Mailing Address - Fax:718-380-5322
Practice Address - Street 1:17926 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1636
Practice Address - Country:US
Practice Address - Phone:718-380-7900
Practice Address - Fax:718-380-7900
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005137213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP64481Medicare ID - Type Unspecified