Individual provider · Type 1 NPI

Farda Qayyum, MD

Vascular Surgery Physician · Philadelphia, PA

NPI number 1285076158 Active

Practice location

3509 N Broad St
Philadelphia, PA 19140-4105

Fax (215) 707-5901

Mailing address

3500 N Broad St
Philadelphia, PA 19140-4106

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMD464911 (PA)
Vascular Surgery Physician 2086S0129XFQ0642315 (PA)
Vascular Surgery Physician Primary 2086S0129XMD464911 (PA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1285076158

Farda Qayyum, MD's National Provider Identifier is 1285076158, issued on Jul 22, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 28, 2024.