1225868508 NPI number — DR. KHAJA HAMEEDUDDIN MUJTABA QUADRI MD

Table of content: DR. KHAJA HAMEEDUDDIN MUJTABA QUADRI MD (NPI 1225868508)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225868508 NPI number — DR. KHAJA HAMEEDUDDIN MUJTABA QUADRI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QUADRI
Provider First Name:
KHAJA HAMEEDUDDIN
Provider Middle Name:
MUJTABA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
QUADRI
Provider Other First Name:
KHAJA H
Provider Other Middle Name:
MUJTABA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1225868508
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
90A STREET 43, F 10 /4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ISLAMABAD
Provider Business Mailing Address State Name:
ICT
Provider Business Mailing Address Postal Code:
44000
Provider Business Mailing Address Country Code:
PK
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
90A STREET 43,F 10 /4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ISLAMABAD
Provider Business Practice Location Address State Name:
ICT
Provider Business Practice Location Address Postal Code:
44000
Provider Business Practice Location Address Country Code:
PK
Provider Business Practice Location Address Telephone Number:
33-181-7943
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  325146 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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