OrganizationActive
Qaisar J Qayyum MD, PC
NPI 1710907613 · Geriatric Medicine (Internal Medicine) Physician · Edmond, OK
Provider details
- NPI number
- 1710907613
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Qaisar Qayyum, President
- License
- 21912 (OK)
Practice location
13974 S Broadway
Edmond, OK 73034-8144
Phone: (405) 562-8715
Fax: (405) 562-8717
Mailing address
Po Box 31195
Edmond, OK 73003
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2020-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.