Fahad Qasim

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

135104 Issued in IL

Practice address

201 E Ogden Ave Ste 18-7
Hinsdale, IL 60521-3671

Phone

(630) 202-6160

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifestream Diagnostics Inc.

  • Diagnostic Ultrasound Physician
  • Hinsdale, IL
  • NPI 1861234080

  Sonography

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1235970385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 FLETCHER LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605067163",
            "telephone_number": "630-202-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OGDEN AVE STE 18-7",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213671",
            "telephone_number": "630-202-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QASIM",
        "first_name": "FAHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "IL",
            "license": "135104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Krishon Pugh, PT, DPT
• Alissa Nicole Pullos, D.D.S.
• Pulse Physical Therapy and Rehabilitation, LLC
• Abby Michelle Pyburn, ATC
• Maheen Ibadat Qadri, DO
• Syed Mohamed Ali Quadri, DO
• Kathleen Quick
• Michael David Munoz Quien, MD
• Patrick K Quirke, M.D.
• Zeina Rabi, M.D.

• Sonography Specialist/Technologist Cardiovascular in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Sonography Specialist/Technologist Cardiovascular in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.