Individual
YASIR GHALIB ABDULQADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
577 E BASELINE RD APT 2014, TEMPE, AZ 85283-1563
(413) 388-2461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
208M00000X
Hospitalist Physician
Primary
54434
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184955395
—
MA
Enumeration date
01/28/2010
Last updated
02/15/2018
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