Provider Demographics
NPI:1740033851
Name:QAZI, SOLEIMAN MIR
Entity type:Individual
Prefix:
First Name:SOLEIMAN
Middle Name:MIR
Last Name:QAZI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5889 SOUTHBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-7871
Mailing Address - Country:US
Mailing Address - Phone:925-819-0756
Mailing Address - Fax:
Practice Address - Street 1:5889 SOUTHBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-7871
Practice Address - Country:US
Practice Address - Phone:925-819-0756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician