Individual
DR. ANILA QIDWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1570 OLD ALABAMA RD, SUITE#105, ROSWELL, GA 30076-2108
(770) 676-6838
(770) 676-6840
Mailing address
1570 OLD ALABAMA RD, SUITE #105, ROSWELL, GA 30076-2108
(770) 676-6838
(770) 676-6840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
065787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-634-383-4
ECFMG#
CA
01
—
065787
GEORGIA LISCENCE
GA
Enumeration date
08/08/2006
Last updated
04/11/2012
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