Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | P28805 | MD |
N | 208600000X | Surgeon | P28805 | MD |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 309863 | NY |
NPI | 1073953006 |
---|---|
Provider Name | Dr. Thamer Robert Qaqish |
First Address | Buffalo, NY 14215-3098 |
Second Address | Buffalo, NY 14215-3098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2013 |
Last Update Date | 12/01/2022 |