Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 50107 | WI |
N | 111NI0900X | Internist | 50107 | WI |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 33169 | OK |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME142305 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | 50107 | WI |
NPI | 1912184730 |
---|---|
Provider Name | Shahid Qamar |
First Address | Orlando, FL 32806-1215 |
Second Address | Orlando, FL 32806-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2008 |
Last Update Date | 26/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104316600 | (05) | FL |
1912184730 | (05) | WI |