Individual
DR. HAITHAM O QADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1619 CREIGHTON RD, SUITE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 434-8144
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-7000
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD.31562
AL
207RN0300X
Nephrology Physician
Primary
ME108010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141800
—
FL
01
—
MD.31562
ALABAMA MEDICAL LICENSE
AL
01
—
ME108010
FLORIDA STATE DOH - MEDICAL LICENSE
FL
Enumeration date
02/20/2006
Last updated
12/28/2021
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