Individual
QASIM ALI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8730
(276) 988-0563
Mailing address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8730
(276) 988-0563
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101248604
VA
2085R0202X
Diagnostic Radiology Physician
24722
WV
2085R0202X
Diagnostic Radiology Physician
321581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
RAILROAD MEDICARE
—
05
—
PENDING
—
VA
05
—
PENDING
—
WV
Enumeration date
09/01/2009
Last updated
03/16/2023
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