Provider Demographics
NPI:1275865388
Name:NAMEER T QADER, MD PC
Entity Type:Organization
Organization Name:NAMEER T QADER, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAMEER
Authorized Official - Middle Name:T
Authorized Official - Last Name:QADER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-475-7100
Mailing Address - Street 1:PO BOX 1468
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84011-1468
Mailing Address - Country:US
Mailing Address - Phone:801-296-2113
Mailing Address - Fax:
Practice Address - Street 1:5495 S 500 E STE 100
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-7422
Practice Address - Country:US
Practice Address - Phone:801-475-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT53007891205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty