Qazi, Abdul Sami

Qazi, Abdul Sami is an individual health care provider with primary practice located at 1915 Lake Ave , Plymouth IN 46563-9366. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Qazi, Abdul Sami can be contacted via phone (574) 948-4000.

Contact Information

Primary practice address
1915 Lake Ave Plymouth IN 46563-9366
Phone: (574) 948-4000
Fax: (574) 948-5454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01079521A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01079521A Indiana

Profile Details

NPI number 1366508228
LBN Legal business name Qazi, Abdul Sami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 14th, 2021 - about 5 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 1366508228 NPPES
Indiana Other 000001142877 BCBS
Indiana MEDICAID 300009791 BCBS

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