Qazi, Qamaruddin

Qazi, Qamaruddin is an individual health care provider with primary practice located at 2845 Greenbrier Rd 1St Floor, Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Qazi, Qamaruddin can be contacted via phone (920) 288-8100.

Contact Information

Primary practice address
2845 Greenbrier Rd 1St Floor Green Bay WI 54311-6519
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 38877 Wisconsin

Profile Details

NPI number 1700803541
LBN Legal business name Qazi, Qamaruddin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 19th, 2021 - about 3 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 1700803541 NPPES
Wisconsin MEDICAID 32388000

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