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Individual
DR. IHTISHAM QAYUM
Active
Individual
DR. IHTISHAM QAYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME177142
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
BP10086880
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME177142
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME177142
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
08/06/2024
Last updated
05/19/2026
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