Individual
FAYYAZ QADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 FRANKLIN ST., SMETHPORT, PA 16749
(814) 887-5655
(814) 887-1911
Mailing address
116 INTERSTATE PARKWAY, BRADFORD, PA 16701
(814) 362-8277
(814) 368-7732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD437282
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18638
RESIDENT PERMIT
MN
Enumeration date
05/13/2008
Last updated
02/05/2010
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