Anila Qidwai


Address: 1570 Old Alabama Rd, Suite 105, Roswell, GA 30076-2108

Anila Qidwai (NPI# 1982614665, PAC ID# 1254330384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1982614665
PAC ID by PECOS 1254330384
Professional Enrollment ID I20120201000607
Full Name Anila Qidwai
Address 1570 Old Alabama Rd
Suite 105
Roswell
GA 30076-2108
Gender F
Credential MD
Graduation Year 1999
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110230 EMORY JOHNS CREEK HOSPITAL
110161 NORTHSIDE HOSPITAL
110198 WELLSTAR NORTH FULTON HOSPITAL

Other Locations

Address Phone Organization
1570 Old Alabama Rd, Suite 105, Roswell, GA 30076-2108

Organization Information

Office Location

Street Address 1570 OLD ALABAMA RD
SUITE 105
City ROSWELL
State GA
Zip 30076-2108

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Name Specialty Organization Address
Jeffrey A Stovall Jr. Optometry 1570 Old Alabama Rd, Suite 106, Roswell, GA 30076-2108

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Justin Kunes Orthopedic Surgery Wellstar Medical Group, LLC 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001
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Competitor

Search similar physicians

City ROSWELL
Zip Code 30076
Specialty FAMILY MEDICINE
City + Specialty ROSWELL + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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