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:
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Health care specialties

SpecialtyCodeLicense #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 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 1265600365 NPPES
Florida MEDICAID 010389400

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