Provider Demographics
NPI:1487665659
Name:NAEEM, LUBNA (MD)
Entity Type:Individual
Prefix:
First Name:LUBNA
Middle Name:
Last Name:NAEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19272 STONE OAK PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3372
Mailing Address - Country:US
Mailing Address - Phone:210-490-3800
Mailing Address - Fax:210-490-3805
Practice Address - Street 1:19272 STONE OAK PKWY STE 108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3372
Practice Address - Country:US
Practice Address - Phone:210-490-3800
Practice Address - Fax:210-490-3805
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH06143Medicare UPIN
TX8F1818Medicare PIN