Individual
ADEEL QAISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
9105 LA STRADA CT, DALLAS, TX 75220-7809
(573) 489-0108
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2003002800
MO
207L00000X
Anesthesiology Physician
Primary
33644
OK
207L00000X
Anesthesiology Physician
N0387
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
N0387
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
N0387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301198301
—
TX
01
—
301198305
BCBS
TX
05
—
301198305
—
TX
01
—
P01446644
RR
TX
Enumeration date
04/18/2006
Last updated
04/25/2022
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