Organization
GHULAM QADIR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHULAM QADIR M.D (PRESIDENT)
(313) 271-8170
Entity
Organization
Contact information
Practice address
6 PARKLANE BLVD, SUITE 695, DEARBORN, MI 48126-2696
(313) 271-8170
(313) 271-8353
Mailing address
6 PARKLANE BLVD, SUITE 695, DEARBORN, MI 48126-2696
(313) 271-8170
(313) 271-8353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301040442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102100490
—
MI
Enumeration date
11/01/2010
Last updated
11/01/2010
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