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NPI Code Detail

MEDICARE: DR. QAISER JAWAID M.D.

MEDICARE: DR. QAISER JAWAID M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician2004001639MO

General Provider Information

NPI Number : 1437110681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. QAISER JAWAID M.D.
Provider Business Mailing Address
First Line : 20 PROGRESS POINT PKWY STE 206
Second Line :
City : O FALLON
State : MO
Zip : 63368-2207
Country : US
Telephone Number : 636-344-1073
Fax Number :
Provider Business Practice Location Address
First Line : 20 PROGRESS POINT PKWY STE 206
Second Line :
City : O FALLON
State : MO
Zip : 63368-2207
Country : US
Telephone Number : 636-344-1073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 06/24/2022

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