Provider Demographics
NPI:1326518242
Name:QAYED, NADMI (RPH)
Entity Type:Individual
Prefix:
First Name:NADMI
Middle Name:
Last Name:QAYED
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 W DAVISON
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48238-3494
Mailing Address - Country:US
Mailing Address - Phone:313-334-5102
Mailing Address - Fax:313-334-5104
Practice Address - Street 1:2645 W DAVISON
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-3494
Practice Address - Country:US
Practice Address - Phone:313-334-5102
Practice Address - Fax:313-334-5104
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033396183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist