Provider Demographics
NPI:1326126392
Name:SOOKHU, LLOYD RAMRAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:RAMRAJ
Last Name:SOOKHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LLOYD
Other - Middle Name:RAMRAJ
Other - Last Name:SOOKHU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:164 WEEKS DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6216
Mailing Address - Country:US
Mailing Address - Phone:631-242-8167
Mailing Address - Fax:
Practice Address - Street 1:164 WEEKS DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6216
Practice Address - Country:US
Practice Address - Phone:631-242-8167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182495207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00403321OtherRAILROAD
NYE61927Medicare UPIN
NY6510HGMedicare PIN