Provider Demographics
NPI:1578583837
Name:NAJAR, GULAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:GULAM
Middle Name:M
Last Name:NAJAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1141
Mailing Address - Country:US
Mailing Address - Phone:716-837-7424
Mailing Address - Fax:716-837-3889
Practice Address - Street 1:30 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1141
Practice Address - Country:US
Practice Address - Phone:716-837-7424
Practice Address - Fax:716-837-3889
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI156826-1207K00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0206095OtherIHA PROVIDER NUMBER
NY00818584Medicaid
NY00010124901OtherUNIVERA PROVIDER NUMBER
NY005002903OtherBC/CBL PROVIDER NUMBER
NY00010124901OtherUNIVERA PROVIDER NUMBER
NY0206095OtherIHA PROVIDER NUMBER