Quazi M Imam, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J3819 Issued in TX

Practice address

1833 W Pioneer Pkwy
Arlington, TX 76013-6106

Phone

(682) 323-4566

Fax

(682) 323-4676

NPI assigned

Jul 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Coastal Plains Community MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, TX
  • NPI 1194104026
  NPD (past)
• Coastal Plains Community MHMR Center

  • Psychiatry Physician
  • Portland, TX
  • NPI 1962552109
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1891711792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 W PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136106",
            "telephone_number": "682-323-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 W PIONEER PKWY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136106",
            "telephone_number": "682-323-4566",
            "fax_number": "682-323-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "QUAZI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J3819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122129306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ikids Pediatric Dentistry Arlington
• Ikids Pediatric Dentistry Viridian, PLLC
• Jessika Iloff
• Imaging & Medical Diagnostic Specialists, P.a.
• Mohammed Waseem Imam, D.O.
• Immaculate Medical Supplies, Inc.
• Immanuel Brain, Spine and Nerve Surgery, PA
• In Balance in Control, L.L.C.
• In His Hands Midwifery PLLC
• In His Hands Midwifery PLLC

• Psychiatry Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.