Provider Demographics
NPI:1972674349
Name:QADIR, AFTAB (MD)
Entity Type:Individual
Prefix:MR
First Name:AFTAB
Middle Name:
Last Name:QADIR
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 1:101 EAST MILLER ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2123
Mailing Address - Country:US
Mailing Address - Phone:407-246-6620
Mailing Address - Fax:407-246-6621
Practice Address - Street 1:101 EAST MILLER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2123
Practice Address - Country:US
Practice Address - Phone:407-246-6620
Practice Address - Fax:407-246-6621
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00623882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
005986OtherFHP
111065OtherAMERIGROUP
FL45072YMedicare PIN
FL45072UMedicare PIN
005986OtherFHP
FL45072SMedicare PIN
450728Medicare ID - Type Unspecified