Provider Demographics
NPI:1629641881
Name:AL TINAWI, QAMAR MOHAMMAD HUSSEIN (MBBS)
Entity Type:Individual
Prefix:
First Name:QAMAR
Middle Name:MOHAMMAD HUSSEIN
Last Name:AL TINAWI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7710 MERCY RD ST
Mailing Address - Street 2:SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2353
Mailing Address - Country:US
Mailing Address - Phone:402-280-4392
Mailing Address - Fax:
Practice Address - Street 1:7710 MERCY RD ST
Practice Address - Street 2:SUITE 202, CU DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2353
Practice Address - Country:US
Practice Address - Phone:402-280-4392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE9155207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine