Basic Information
| Provider Information | |||||||||
| NPI: | 1518997691 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | QARNI | ||||||||
| FirstName: | AHMER | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 E THIRD STREET | ||||||||
| Address2: | |||||||||
| City: | DULUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 558051951 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7014467332 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3000 32ND AVE S | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581036132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013648000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/04/2006 | ||||||||
| LastUpdateDate: | 04/12/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | C55428 | CA | N | Other Service Providers | Specialist | 207RN0300X | 42560 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | 8263 | ND | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 3100076 | 01 | ND | MEDICA # | OTHER | C55428 | 01 | CA | CA LICENSE | OTHER | 726188800 | 05 | ND | MEDICAID | 74D96QA | 01 | MN | MNBS # | OTHER | HP29840 | 01 | ND | HEALTHPARTNERS # | OTHER | 20297 | 01 | ND | ND MEDICARE # | OTHER | 020012 | 01 | MN | NDBS # | OTHER | 20297 | 01 | ND | NDBS # | OTHER | DA9011022242 | 01 | ND | PREFERRED ONE # | OTHER | 04S48QA | 01 | ND | MNBS # | OTHER | 11098 | 05 | ND | MEDICAID | 3100081 | 01 | ND | MEDICA # | OTHER | 3100111 | 01 | ND | MEDICA # | OTHER | 18413 | 01 | ND | NDBS # | OTHER |