Basic Information
Provider Information
NPI: 1114979648
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FAIZ-QADIR
FirstName: NAZIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: QADIR
OtherFirstName: NAZIA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 1803 MOUNT ROSE AVE
Address2: SUITE B3
City: YORK
State: PA
PostalCode: 174033026
CountryCode: US
TelephoneNumber: 7178511405
FaxNumber: 7178516969
Practice Location
Address1: 1001 S GEORGE ST
Address2: 4TH FLR BLDG MKB
City: YORK
State: PA
PostalCode: 174033676
CountryCode: US
TelephoneNumber: 7178512417
FaxNumber: 7178513712
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD427908PAX Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200XMD427908PAX Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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