Look up the most recent NPI and PECOS records

Qazi Kamal Haider

Internal Medicine

Allopathic & Osteopathic Physicians

14014 Cherry Ave, Flushing, NY 11355-3025

PECOS Enrollment

This provider is enrolled in PECOS as QAZI HAIDER.

Based on the most recent information from CMS, provider Qazi Kamal Haider is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1184793846
Provider Type
Individual
Full Name
Haider, Qazi Kamal
Title
Dr.
Credential
M.D

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/7/2006
Last Updated
8/3/2011

Contact Information

Practice Location

14014 Cherry Ave, Flushing, NY 11355-3025

(718) 886-0355

(718) 886-0311

Mailing Location

14014 Cherry Ave, Flushing, NY 11355-3213

(718) 886-0355

(718) 886-0311

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 196383 New York

Provider Identifiers

ID	Description	Issuer
ID 01502381	Description Medicaid	Issuer Unlisted New York

Qazi Kamal Haider

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Podval, Marina

Zeyneloglu, Nejat

Nam, Hu-Nam

Rego Austin Inc.

Chung, Nak C

Lodha, Sanjay

Beekman, Karen

Igbokwe, Nesochi

Song, Shuhua

Son, Mi Na