Provider Demographics
NPI:1437742939
Name:QADEER, GOHAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GOHAR
Middle Name:
Last Name:QADEER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6399 MUNGER RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9014
Mailing Address - Country:US
Mailing Address - Phone:734-757-5047
Mailing Address - Fax:
Practice Address - Street 1:6399 MUNGER RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9014
Practice Address - Country:US
Practice Address - Phone:734-757-5047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP9230183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist