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NPI Code Detail

MEDICARE: DR. EHSAN QADIR MD

MEDICARE: DR. EHSAN QADIR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician33703KY
2207P00000XEmergency Medicine Physician33703KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00104258OTHERKYRAILROAD MEDICARE
2P00145372OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3000000313491OTHERKYANTHEM
4000000312389OTHERKYANTHEM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114919404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EHSAN QADIR MD
Provider Business Mailing Address
First Line : 910 WALLACE AVE
Second Line :
City : LEITCHFIELD
State : KY
Zip : 42754-2414
Country : US
Telephone Number : 270-259-1656
Fax Number : 270-259-9536
Provider Business Practice Location Address
First Line : 910 WALLACE AVE.
Second Line :
City : LEITCHFIELD
State : KY
Zip : 42754-2414
Country : US
Telephone Number : 270-259-1656
Fax Number : 270-259-9536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 12/22/2008

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Directions to “ DR. EHSAN QADIR MD” Practice Location

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