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Individual
DR. IMAD QAYYUM
Active
Individual
DR. IMAD QAYYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.143807
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
036.143807
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036143807
—
IL
Enumeration date
06/02/2011
Last updated
01/23/2019
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