MR. YUSUF QAMRUZZAMAN (NPI# 1174738231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174738231 |
| Entity Type | Individual |
| Full Name | MR. YUSUF QAMRUZZAMAN |
| Credential | MD |
| Practice Address |
861 Monroe St Dearborn MI 48124-2308 |
| Practice Telephone | 3132741800 |
| Practice Fax Number | 3137696285 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301104226 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
861 MONROE ST |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615205 | Parvez Khan | Internal Medicine | 861 Monroe St, Dearborn, MI 48124-2308 | 2005-10-31 |
| 1316425424 | Jeanne Therese Gugudis | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124 | 2018-07-31 |
| 1790297901 | Sarah Baban | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124-2308 | 2017-10-27 |
| 1164976908 | Seija Olivier | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124-2308 | 2016-08-10 |
| 1770984015 | Suvnir Dulai | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124-2308 | 2014-09-05 |
| 1134459662 | Parvez Khan Md,pc | Clinic/Center | 861 Monroe St, Dearborn, MI 48124-2308 | 2010-01-06 |
| 1447584719 | Samantha Sue Lang | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124-2308 | 2009-09-19 |
| 1770788226 | Tabitha Kildani | Physician Assistant | 861 Monroe St, Dearborn, MI 48124-2308 | 2007-06-15 |
| 1770569022 | Shabana Khan | Internal Medicine | 861 Monroe St, Dearborn, MI 48124-2308 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
| 1396728507 | Feroze A Momin | Internal Medicine | 2021 Monroe St Ste 203, Dearborn, MI 48124-2926 | 2005-11-22 |
| 1033581434 | Mirna Farhat Md, Plc | Internal Medicine | 1537 Monroe St, Dearborn, MI 48124-2842 | 2015-10-24 |
| 1669703781 | Mirna Farhat | Internal Medicine | 1537 Monroe St, Dearborn, MI 48124 | 2010-01-29 |
| 1811138787 | Faisal Musa | Internal Medicine | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2009-03-23 |
| 1427110626 | Oakwood Ambulatory, LLC | Internal Medicine | 18181 Oakwood Blvd, Cancer Center, Dearborn, MI 48124-5032 | 2006-12-14 |
| 1235177718 | Cancer & Transplant Consultants Plc | Internal Medicine | 2021 Monroe St Ste 203, Dearborn, MI 48124-2926 | 2006-06-04 |
| 1558324129 | Renu Manthan Pandit | Internal Medicine | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2006-04-06 |
| 1285601435 | Oscar Signori | Internal Medicine | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2006-03-07 |
| 1912974452 | Enrique Signori | Internal Medicine | 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 | 2006-03-03 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.