Provider Demographics
NPI:1396885828
Name:BILQUIS NAVIWALA PHYSICIAN PC INC
Entity type:Organization
Organization Name:BILQUIS NAVIWALA PHYSICIAN PC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BILQUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-386-4409
Mailing Address - Street 1:86 16 60TH AVE
Mailing Address - Street 2:APT #2H
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-386-4409
Mailing Address - Fax:718-386-4409
Practice Address - Street 1:252 WYCKOFF AVE
Practice Address - Street 2:#1R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237
Practice Address - Country:US
Practice Address - Phone:718-386-4409
Practice Address - Fax:418-386-4409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197249208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY197249OtherHIP
NY000423460666OtherHEALTHPLUS
NY060427000028OtherCENTERCARE
NY10211479OtherAMERIGROUP
NY008392OtherMETRO PLUS
NY26P7723OtherNEW YORK PRESBYTERIAN
NY1000030765OtherAFFINITY
NY19724901OtherNEIGHBORHOOD
NY01783435Medicaid
NY10211480OtherAMERIGROUP
NY11227421OtherMULTIPLAN