Provider Demographics
NPI:1508968835
Name:HAMEEDI, ASIM
Entity Type:Individual
Prefix:DR
First Name:ASIM
Middle Name:
Last Name:HAMEEDI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ASIM
Other - Middle Name:
Other - Last Name:HAMEEDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:21318 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3522
Mailing Address - Country:US
Mailing Address - Phone:718-465-3200
Mailing Address - Fax:718-465-9792
Practice Address - Street 1:21318 UNION TPKE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3522
Practice Address - Country:US
Practice Address - Phone:718-465-3200
Practice Address - Fax:718-465-9792
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214380207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02139760Medicaid
04916Medicare ID - Type Unspecified
NY02139760Medicaid