# NELLY T LOO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548229818
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 174767 | NY | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 08/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01500747 | — | NY |
| 01 | — | 043675 | UNITED HEALTHCAREMEDICARE | — |
| 01 | — | 0M463P | HIP | — |
| 01 | — | 133685785 | HEALTH NET | — |
| 01 | — | 13G681 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 1492032 | PHCS | — |
| 01 | — | 1537194 | UNITED HEALTHCARE | — |
| 01 | — | 246015812 | GHI UNITE | — |
| 01 | — | 2502050 | GHI | — |
| 01 | — | 273472 | WELLCARE | — |
| 01 | — | 273507 | WELLCARE ENDO SPECIALIST | — |
| 01 | — | 7158021 | CIGNA PPO | — |
| 01 | — | M4071 | VYTRA | — |
| 01 | — | NP560 | OXFORD | — |