Individual
AHMAD ZAKY QASIMYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5048 W NORTHERN AVE STE 106, GLENDALE, AZ 85301-1558
(623) 435-0190
(623) 435-0193
Mailing address
5048 W. NORTHERN AVE, SUITE 106, GLENDALE, AZ 85301-1548
(623) 435-0190
(623) 435-0193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101236183
VA
207Q00000X
Family Medicine Physician
Primary
41474
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441696
—
AZ
Enumeration date
09/08/2006
Last updated
10/15/2019
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