Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 200500101 | NC |
NPI | 1013992635 |
---|---|
Provider Name | Misbah U Qadir |
First Address | Kinston, NC 28501-1584 |
Second Address | Kinston, NC 28501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 10/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5900525 | (05) | NC |
P00244050 | RAILROAD MEDICARE (01) |