Basic Information
| Provider Information | |||||||||
| NPI: | 1619473162 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | QAZI | ||||||||
| FirstName: | HAMID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4960 RICE MINE RD NE | ||||||||
| Address2: | |||||||||
| City: | TUSCALOOSA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 354063135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3348743463 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4960 RICE MINE RD NE STE 40 | ||||||||
| Address2: | |||||||||
| City: | TUSCALOOSA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 354063136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3347597519 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2018 | ||||||||
| LastUpdateDate: | 09/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD.42892 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.