Qadir, Maryam
Qadir, Maryam is an individual health care provider with primary practice located at 204 Southpark Cir E , St Augustine FL 32086-5135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Qadir, Maryam can be contacted via phone (904) 829-8300.Contact Information
Primary practice address
204 Southpark Cir E
St Augustine FL 32086-5135
Phone: (904) 829-8300
Fax: (904) 829-8310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME116652 | Florida |
Profile Details
| NPI number | 1265600365 |
|---|---|
| LBN Legal business name | Qadir, Maryam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2008 |
| Last updated | Jun 3rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265600365 | NPPES |
| Florida | MEDICAID | 010389400 |
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