Provider Demographics
NPI:1275642605
Name:QAYUM, NAHEED Z (MD)
Entity Type:Individual
Prefix:DR
First Name:NAHEED
Middle Name:Z
Last Name:QAYUM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3724 LAKE ASPEN DR W
Mailing Address - Street 2:SUITE 10
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-8305
Mailing Address - Country:US
Mailing Address - Phone:504-982-6469
Mailing Address - Fax:
Practice Address - Street 1:501 RUE DE SANTE
Practice Address - Street 2:SUITE 10
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-5400
Practice Address - Country:US
Practice Address - Phone:505-393-0040
Practice Address - Fax:504-393-0040
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.10691R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1997137Medicaid
LA1997137Medicaid
LAF 93147Medicare UPIN