Provider Demographics
NPI:1063978930
Name:OFQ, PLLC
Entity type:Organization
Organization Name:OFQ, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:OSMAN
Authorized Official - Middle Name:JAVED
Authorized Official - Last Name:QAIYUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-369-8223
Mailing Address - Street 1:1427 K ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3235
Mailing Address - Country:US
Mailing Address - Phone:202-390-2547
Mailing Address - Fax:
Practice Address - Street 1:1427 K ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3235
Practice Address - Country:US
Practice Address - Phone:202-390-2547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty