Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 20A14129 | CA |
N | 207R00000X | Internist | 20A14129 | CA |
N | 111NI0900X | Internist | 20A14129 | CA |
NPI | 1043578610 |
---|---|
Provider Name | Nadir Yusaf Qazi |
First Address | Irvine, CA 92618-3171 |
Second Address | Irvine, CA 92618-3171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2012 |
Last Update Date | 20/07/2020 |