Provider Demographics
NPI:1801952981
Name:KALAM, LOBINA KANIZ (MD)
Entity type:Individual
Prefix:
First Name:LOBINA
Middle Name:KANIZ
Last Name:KALAM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:55 WATER ST
Mailing Address - Street 2:FL 12
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:866-633-8255
Mailing Address - Fax:929-263-3957
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:TOWER 2 11TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:866-633-8255
Practice Address - Fax:929-263-3957
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2017-12-28
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Provider Licenses
StateLicense IDTaxonomies
NY230905207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2828715Medicaid
NY4989LUMedicare UPIN