Individual
IMAZUL QADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-2822
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
390200000X
CA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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