Healthcare Provider Details

I. General information

NPI: 1356282594
Provider Name (Legal Business Name): GHADEER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 DASHWOOD STREET TRACY, CA 95377
TRACY CA
95377
US

IV. Provider business mailing address

2609 DASHWOOD STREET TRACY, CA 95377
TRACY CA
95377
US

V. Phone/Fax

Practice location:
  • Phone: 209-418-7939
  • Fax:
Mailing address:
  • Phone: 209-418-7939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. TALIB NAQVI
Title or Position: MANAGER
Credential:
Phone: 209-418-7939