Qayyum, Imran

Qayyum, Imran is an individual health care provider with primary practice located at Bryn Mawr Hospital 130 S. Bryn Mawr Ave., Bryn Mawr PA 19010-3121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Qayyum, Imran can be contacted via phone (610) 526-4261.

Contact Information

Primary practice address
Bryn Mawr Hospital 130 S. Bryn Mawr Ave. Bryn Mawr PA 19010-3121
Phone: (610) 526-4261
Fax: (610) 526-4661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD059580L Pennsylvania

Profile Details

NPI number 1790860872
LBN Legal business name Qayyum, Imran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Sep 16th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790860872 NPPES
Maryland MEDICAID 1163051
Maryland MEDICAID 8223301
Maryland MEDICAID 001805785

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