Qidwai, Anila

Qidwai, Anila is an sole proprietor health care provider with primary practice located at 1570 Old Alabama Rd Suite#105, Roswell GA 30076-2108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Qidwai, Anila can be contacted via phone (770) 676-6838.

Contact Information

Primary practice address
1570 Old Alabama Rd Suite#105 Roswell GA 30076-2108
Fax: (770) 676-6840
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 065787 Georgia

Profile Details

NPI number 1982614665
LBN Legal business name Qidwai, Anila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Apr 11th, 2012 - about 12 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 1982614665 NPPES
California Other 0-634-383-4 ECFMG#
California Other 065787 ECFMG#

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