QAISAR J QAYYUM MD, PC
NPI 1710907613
Internal Medicine - Geriatric Medicine in Edmond, OK

Active since July 20, 2006
13974 S BROADWAY, EDMOND, OK 73034(405) 562-8715(405) 562-8717 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Qaisar J Qayyum Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QAISAR J QAYYUM MD, PC (NPI 1710907613) is a healthcare organization registered as a geriatric medicine in Edmond, Oklahoma and active in the NPI registry since July 2006. The organization lists Qaisar J Qayyum, President, as its authorized official.

NPPES Registry Identity

NPI1710907613
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameQAISAR J QAYYUM MD, PC
Location Address13974 S BROADWAYEdmond, OK 73034-8144
Mailing AddressPo Box 31195Edmond, OK 73003 · (405) 562-8715
Fax(405) 562-8717
Organization SubpartNo
Authorized OfficialQaisar J QayyumPresident · (405) 562-8715
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 22, 2020
NPPES CertifiedJune 22, 2020
NPI 1710907613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in OK · 21912
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

13974 S BROADWAY, Edmond, OK 73034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
13974 S BROADWAY
EDMOND, OK 73034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Qaisar J Qayyum MD, PC's NPI number?

The NPI number for Qaisar J Qayyum MD, PC is 1710907613. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Qaisar J Qayyum MD, PC located?

Qaisar J Qayyum MD, PC is located at 13974 S Broadway, Edmond, OK 73034. The listed phone number is (405) 562-8715.

What is Qaisar J Qayyum MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Qaisar J Qayyum MD, PC was last updated on June 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.