Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Qaisar J Qayyum MD, PC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1710907613

Qaisar J Qayyum MD, PC is a Geriatric Medicine (Internal Medicine) Physician in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13974 S Broadway
Edmond, OK 73034-8144
Phone: (405) 562-8715
Fax: (405) 562-8717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 21912 (OK)

Record details

NPI number1710907613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Qaisar Qayyum — President · (405) 562-8715
NPI enumeratedJuly 20, 2006
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020
Mailing addressPo Box 31195, Edmond, OK 73003

Other providers in Edmond