Provider Demographics
NPI:1881661148
Name:QAMAR, YUSUF (MD)
Entity Type:Individual
Prefix:
First Name:YUSUF
Middle Name:
Last Name:QAMAR
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:P.O. BOX 307
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-0307
Mailing Address - Country:US
Mailing Address - Phone:316-283-2700
Mailing Address - Fax:316-283-6260
Practice Address - Street 1:1755 E 61ST ST. N.
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:KS
Practice Address - Zip Code:67219-1917
Practice Address - Country:US
Practice Address - Phone:316-440-4466
Practice Address - Fax:316-440-4470
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0414688207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100087500AMedicaid
30915OtherBOARD CERT
AQ1306782OtherDEA
KS100087500AMedicaid
30915OtherBOARD CERT