Provider Demographics
NPI:1447517503
Name:QAMAR, WAQAS AHMAD (MD)
Entity type:Individual
Prefix:DR
First Name:WAQAS
Middle Name:AHMAD
Last Name:QAMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4022 E PRESIDIO ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-1113
Mailing Address - Country:US
Mailing Address - Phone:480-985-1093
Mailing Address - Fax:480-296-7647
Practice Address - Street 1:4022 E PRESIDIO ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-1113
Practice Address - Country:US
Practice Address - Phone:480-985-1093
Practice Address - Fax:480-296-7647
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-13
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50490207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine