Qayyum, Qaisar

Qayyum, Qaisar is an individual health care provider with primary practice located at 13974 S Broadway , Edmond OK 73034-8144. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Qayyum, Qaisar can be contacted via phone (405) 562-8715.

Contact Information

Primary practice address
13974 S Broadway Edmond OK 73034-8144
Phone: (405) 562-8715
Fax: (405) 562-8717
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21912 Oklahoma
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 21912 Oklahoma

Profile Details

NPI number 1720025448
LBN Legal business name Qayyum, Qaisar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 22nd, 2020 - about 4 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 1720025448 NPPES
Oklahoma MEDICAID 100063090A

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