Provider Demographics
NPI:1073710687
Name:QAZI, RABIA (MD)
Entity Type:Individual
Prefix:DR
First Name:RABIA
Middle Name:
Last Name:QAZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 VALLEY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3506
Mailing Address - Country:US
Mailing Address - Phone:302-328-3466
Mailing Address - Fax:
Practice Address - Street 1:100 ROCKFORD DRIVE
Practice Address - Street 2:ROCKFORD CENTER
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-892-4204
Practice Address - Fax:302-996-0269
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0003695283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital