Provider Demographics
NPI:1518997691
Name:QARNI, AHMER H (MD)
Entity Type:Individual
Prefix:
First Name:AHMER
Middle Name:H
Last Name:QARNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:701-446-7332
Mailing Address - Fax:
Practice Address - Street 1:3000 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6132
Practice Address - Country:US
Practice Address - Phone:701-364-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC55428174400000X
MN42560207RN0300X
ND8263207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND3100076OtherMEDICA #
CAC55428OtherCA LICENSE
ND726188800Medicaid
MN74D96QAOtherMNBS #
NDHP29840OtherHEALTHPARTNERS #
ND20297OtherND MEDICARE #
MN020012OtherNDBS #
ND20297OtherNDBS #
NDDA9011022242OtherPREFERRED ONE #
ND04S48QAOtherMNBS #
ND11098Medicaid
ND3100081OtherMEDICA #
ND3100111OtherMEDICA #
ND18413OtherNDBS #
ND3100081OtherMEDICA #
MN390000230Medicare ID - Type UnspecifiedMN MEDICARE #
ND20297OtherNDBS #
ND3100111OtherMEDICA #
MN74D96QAOtherMNBS #
ND726188800Medicaid