Individual
FAYIZUL QADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-2476
Mailing address
2874 WILLOWOOD DR, ERIE, PA 16506-5121
(630) 935-3001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OT024659
PA
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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