Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD465579 | PA |
NPI | 1013342633 |
---|---|
Provider Name | Aisha N Qazi |
First Address | Philadelphia, PA 19107-1506 |
Second Address | Philadelphia, PA 19107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2013 |
Last Update Date | 13/09/2018 |