Organization
FOUR SEASONS NUCLEAR MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAEEM A QAZI M.D. (PRESIDENT)
(276) 326-1132
Entity
Organization
Contact information
Practice address
15A WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2000
(276) 326-1132
(276) 326-1137
Mailing address
PO BOX 1537, BLUEFIELD, WV 24701-1537
(276) 326-1132
(276) 326-1133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101040972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184680548
—
VA
01
—
296801
ANTHEM BCBS
VA
05
—
4000117000
—
WV
01
—
P00460579
RAILROAD MEDICARE
VA
Enumeration date
03/14/2007
Last updated
06/16/2011
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