Provider Demographics
NPI:1902865652
Name:QAMAR, HUMERAA (MD)
Entity Type:Individual
Prefix:MRS
First Name:HUMERAA
Middle Name:
Last Name:QAMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 SE 28TH LOOP
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1079
Mailing Address - Country:US
Mailing Address - Phone:352-369-8690
Mailing Address - Fax:352-369-8693
Practice Address - Street 1:1749 SE 28TH LOOP
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1079
Practice Address - Country:US
Practice Address - Phone:352-369-8690
Practice Address - Fax:352-369-8693
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073951208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43433OtherBCBS ID NUMBER
FL253016300Medicaid