Healthcare Provider Details

I. General information

NPI: 1659429686
Provider Name (Legal Business Name): TASMIA QAMAR HENRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 11/22/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9449 IMPERIAL HWY SUITE D #432
DOWNEY CA
90242-2814
US

IV. Provider business mailing address

9449 IMPERIAL HWY SUITE D #432
DOWNEY CA
90242-2814
US

V. Phone/Fax

Practice location:
  • Phone: 877-608-0044
  • Fax: 877-514-0903
Mailing address:
  • Phone: 877-608-0044
  • Fax: 877-514-0903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA94761
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD436950
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number94761
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: