MEDICARE: SYED MM QUADRI 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	2084P0800X	Psychiatry Physician	M4456	TX

General Provider Information

NPI Number	:	1760496509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED MM QUADRI MD

Provider Business Mailing Address
First Line	:	431 E STATE HIGHWAY 114 STE 400
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-4414
Country	:	US
Telephone Number	:	817-527-8621
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 E STATE HIGHWAY 114 STE 400
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-4414
Country	:	US
Telephone Number	:	817-527-8621
Fax Number	:

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	04/06/2026

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