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1700999885

NPI Code Detail

MEDICARE: DR. ADNAN QADEER MD

MEDICARE: DR. ADNAN QADEER 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
1	208000000X	Pediatrics Physician	MD29420	SC
2	208D00000X	General Practice Physician	29420	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700999885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADNAN QADEER MD

Provider Business Mailing Address
First Line	:	205 BUXTON CT
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29642-7009
Country	:	US
Telephone Number	:	319-331-2155
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 W FARIS RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4241
Country	:	US
Telephone Number	:	864-729-8330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	10/16/2022

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Directions to “ DR. ADNAN QADEER MD” Practice Location

Language	Start Address	Practice Location

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