Individual provider · NPI-1

Qahtan Hamid Abdulameer

Contractor · Glendale, AZ

NPI number1033800628
StatusActive
Last updated in NPPESMay 16, 2023

Details

NPI
1033800628
Entity type
Individual (NPI-1)
Name
Qahtan Hamid Abdulameer
Sex
Male
Sole proprietor
Yes
Enumeration date
May 16, 2023
Certification date
May 16, 2023
Last updated
May 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

5756 W Columbine Dr
Glendale, AZ 85304-1835

Phone 480-490-0839

Mailing address

5756 W Columbine Dr
Glendale, AZ 85304-1835

Phone 480-490-0839

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