Individual
SAADIA QASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 COUNTY ROAD 6 E, ELKHART, IN 46514-7673
(574) 264-9635
(574) 262-0398
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074492A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000943746
BCBS BMG ELKHART EAST
IN
05
—
201303460
—
IN
01
—
236040146
MEDICARE PTAN
IN
Enumeration date
05/07/2012
Last updated
03/31/2021
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