Provider Demographics
NPI:1881389922
Name:QASIM, ABDULKADIR HASSAN (PROVIDER)
Entity type:Individual
Prefix:MR
First Name:ABDULKADIR
Middle Name:HASSAN
Last Name:QASIM
Suffix:
Gender:M
Credentials:PROVIDER
Other - Prefix:MR
Other - First Name:ABDULKADIR
Other - Middle Name:HASSAN
Other - Last Name:QASIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PROVIDER
Mailing Address - Street 1:16541 LOCH KATRINE LN APT 80377084
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2765
Mailing Address - Country:US
Mailing Address - Phone:832-212-3578
Mailing Address - Fax:
Practice Address - Street 1:16541 LOCH KATRINE LN APT 80377084
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2765
Practice Address - Country:US
Practice Address - Phone:832-212-3578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12434847343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)