Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 01023541 | IN |
NPI | 1437211968 |
---|---|
Provider Name | Dr. Haroon M. Qazi |
First Address | Indianapolis, IN 46278-1588 |
Second Address | Indianapolis, IN 46278-1588 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 13/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35-1386652 | FEDERAL TAX ID# (01) | IN |