Basic Information
Provider Information | |||||||||
NPI: | 1093079048 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | TOQEER | ||||||||
FirstName: | QAISER | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 60447 | ||||||||
Address2: |   | ||||||||
City: | CHARLOTTE | ||||||||
State: | NC | ||||||||
PostalCode: | 282600447 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7043849437 | ||||||||
FaxNumber: | 7043849440 | ||||||||
Practice Location | |||||||||
Address1: | 222 HERLONG AVE S | ||||||||
Address2: |   | ||||||||
City: | ROCK HILL | ||||||||
State: | SC | ||||||||
PostalCode: | 297321158 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8033243500 | ||||||||
FaxNumber: | 8033278505 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/25/2012 | ||||||||
LastUpdateDate: | 08/11/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 08/11/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 005730 | GA | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 2084N0400X | 2016-00769 | NC | N |   | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 2084N0400X | 25MA11292600 | NJ | N |   | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 2084N0400X | 87340 | SC | N |   | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | 390200000X |   | VA | N |   | Student, Health Care | Student in an Organized Health Care Education/Training Program |   | 208M00000X | 2016-00769 | NC | Y |   | Allopathic & Osteopathic Physicians | Hospitalist |   |
No ID Information.