Basic Information
Provider Information
NPI: 1568759272
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QAMAR
FirstName: MOHD
MiddleName: ARMAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9650 GROSS POINT RD STE 4900
Address2:  
City: SKOKIE
State: IL
PostalCode: 600765080
CountryCode: US
TelephoneNumber: 8478643278
FaxNumber: 8476761727
Practice Location
Address1: 9650 GROSS POINT RD STE 4900
Address2:  
City: SKOKIE
State: IL
PostalCode: 600765080
CountryCode: US
TelephoneNumber: 8478643278
FaxNumber: 8476761727
Other Information
ProviderEnumerationDate: 07/01/2011
LastUpdateDate: 08/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011X036152948ILY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000X036152948ILN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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