Individual
FARDA QAYYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD464911
PA
2086S0129X
Vascular Surgery Physician
FQ0642315
PA
2086S0129X
Vascular Surgery Physician
Primary
MD464911
PA
Other
Enumeration date
07/22/2013
Last updated
10/28/2024
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