MEDICARE: AFTAB A. QADIR, MD INC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1720757834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTAB A. QADIR, MD INC

Provider Business Mailing Address
First Line	:	17117 CREST HEIGHTS DR
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91387-3177
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17117 CREST HEIGHTS DR
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91387-3177
Country	:	US
Telephone Number	:	818-489-2574
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. AFTAB ALTAF QADIR
Credential	:	MD
Telephone Number	:	818-489-2574

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	09/10/2021

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