1518147750 NPI number — RIFFAT QADIR, M.D., INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518147750 NPI number — RIFFAT QADIR, M.D., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIFFAT QADIR, M.D., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518147750
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3838 MASSILLON ROAD SUITE 380A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIONTOWN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44685
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-899-0050
Provider Business Mailing Address Fax Number:
330-899-0060

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3838 MASSILLON RD STE 380A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44685-6214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-899-0050
Provider Business Practice Location Address Fax Number:
330-899-0060
Provider Enumeration Date:
11/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
QADIR
Authorized Official First Name:
RIFFAT
Authorized Official Middle Name:
Authorized Official Title or Position:
OTOLARYNGOLOGIST
Authorized Official Telephone Number:
330-899-0050

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 231H00000X , with the licence number: A01342 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0989015 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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