Provider Demographics
NPI:1033800628
Name:ABDULAMEER, QAHTAN HAMID
Entity Type:Individual
Prefix:
First Name:QAHTAN
Middle Name:HAMID
Last Name:ABDULAMEER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5756 W COLUMBINE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-1835
Mailing Address - Country:US
Mailing Address - Phone:480-490-0839
Mailing Address - Fax:
Practice Address - Street 1:5756 W COLUMBINE DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1835
Practice Address - Country:US
Practice Address - Phone:480-490-0839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor