Provider Demographics
NPI:1427083435
Name:DAR, QUTUBUDDIN KARAMAT (MD)
Entity type:Individual
Prefix:DR
First Name:QUTUBUDDIN
Middle Name:KARAMAT
Last Name:DAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 DUNCAN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1017
Mailing Address - Country:US
Mailing Address - Phone:585-786-1210
Mailing Address - Fax:585-786-1208
Practice Address - Street 1:31 DUNCAN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1017
Practice Address - Country:US
Practice Address - Phone:585-786-1210
Practice Address - Fax:585-786-1208
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2007341207Q00000X, 207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP290200734OtherBCBS OF ROCHESTER
NY0010200734OtherBCBS OF ROCHESTER
NY102853BJOtherPREFERRED CARE
NY5690111OtherINDEPENDENT HEALTH
NY01856564Medicaid
NY102853CBOtherPREFERRED CARE
NY00010366501OtherUNIVERA
NY000525213001OtherBLUE CROSS BLUE SHIELD WA
NY102853BJOtherPREFERRED CARE
NY0010200734OtherBCBS OF ROCHESTER