Healthcare Provider Details

I. General information

NPI: 1891928958
Provider Name (Legal Business Name): QUALITY CARE CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2009
Last Update Date: 06/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 MOUNTAIN PARKWAY SPUR
CAMPTON KY
41301-8988
US

IV. Provider business mailing address

239 MOUNTAIN PARKWAY SPUR
CAMPTON KY
41301-8988
US

V. Phone/Fax

Practice location:
  • Phone: 606-668-3770
  • Fax: 606-668-3125
Mailing address:
  • Phone: 606-668-3770
  • Fax: 606-668-3125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number38485
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33660
License Number StateKY

VIII. Authorized Official

Name: MR. NADEEM SHAIKH
Title or Position: PRESIDENT
Credential: M.D
Phone: 606-668-3770