Individual
QAISER NIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27206 CALAROGA AVE, #208, HAYWARD, CA 94545-4300
(510) 264-0300
(510) 264-9510
Mailing address
4721 DALLAS RANCH RD, ANTIOCH, CA 94531-8811
(925) 778-0679
(925) 778-3567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11201
NV
207RH0000X
Hematology (Internal Medicine) Physician
11201
NV
207RH0003X
Hematology & Oncology Physician
28392
AL
207RH0003X
Hematology & Oncology Physician
43954
KY
207RH0003X
Hematology & Oncology Physician
Primary
C55286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912297
—
AL
01
—
510-07035
BCBS
AL
01
—
510I830002
MEDICARE
AL
05
—
7100146950
—
KY
Enumeration date
10/06/2005
Last updated
11/26/2012
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