Healthcare Provider Details

I. General information

NPI: 1427638105
Provider Name (Legal Business Name): OZAIR QADRI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16127 FOOTHILL BLVD
FONTANA CA
92335-3374
US

IV. Provider business mailing address

16127 FOOTHILL BLVD
FONTANA CA
92335-3374
US

V. Phone/Fax

Practice location:
  • Phone: 909-347-0700
  • Fax: 909-355-3447
Mailing address:
  • Phone: 909-347-0700
  • Fax: 909-355-3447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA190580
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: