Dr Qaisar Qayyum, MD | |
13974 S Broadway, Edmond, OK 73034-8144 | |
(405) 562-8715 | |
(405) 562-8717 |
Full Name | Dr Qaisar Qayyum |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 13974 S Broadway, Edmond, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720025448 | NPI | - | NPPES |
100063090A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 21912 (Oklahoma) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | 21912 (Oklahoma) | Primary |
Entity Name | Midwest Hospitalist Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376011478 PECOS PAC ID: 9133465354 Enrollment ID: O20190109001451 |
Mailing Address | Practice Location Address |
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Dr Qaisar Qayyum, MD Po Box 31195, Edmond, OK 73003-0020 Ph: (405) 562-8715 | Dr Qaisar Qayyum, MD 13974 S Broadway, Edmond, OK 73034-8144 Ph: (405) 562-8715 |
Viorica Khalili, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 S Bryant Ave, Suite 202, Edmond, OK 73034 Phone: 405-340-4565 Fax: 405-340-4583 | |
Dr. Royce Lee Bargas, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3839 S Boulevard Ste 100, Edmond, OK 73013 Phone: 405-607-4445 | |
Dr. Brian Levy, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 N Bryant Ave, C4, Edmond, OK 73034 Phone: 405-330-7606 Fax: 405-330-7607 | |
Rakesh Shrivastava, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 101, Edmond, OK 73034 Phone: 405-861-0004 Fax: 855-680-8890 | |
Dr. Craig W Carson, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 Phone: 405-844-4978 Fax: 405-844-0562 | |
Laurie Anne Orme, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 E Waterloo Rd, Edmond, OK 73034 Phone: 405-715-2000 Fax: 405-715-2010 | |
Jeremy Brandon Moad, M.D Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034 Phone: 405-715-2022 Fax: 405-715-2905 |