Provider Demographics
NPI:1538151964
Name:LOYA, ALTAF (MD)
Entity type:Individual
Prefix:
First Name:ALTAF
Middle Name:
Last Name:LOYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 E MEDICAL CENTER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4373
Mailing Address - Country:US
Mailing Address - Phone:281-481-4646
Mailing Address - Fax:281-481-4649
Practice Address - Street 1:11920 ASTORIA BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089
Practice Address - Country:US
Practice Address - Phone:281-481-4646
Practice Address - Fax:281-481-4649
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL97882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
8D4356Medicare ID - Type Unspecified
H34105Medicare UPIN