Healthcare Provider Details

I. General information

NPI: 1619689890
Provider Name (Legal Business Name): QUADRI PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5391 CALGARY CT
LAS VEGAS NV
89118
US

IV. Provider business mailing address

5693 S JONES BLVD STE 112
LAS VEGAS NV
89118-1967
US

V. Phone/Fax

Practice location:
  • Phone: 630-802-4333
  • Fax: 702-566-4575
Mailing address:
  • Phone: 630-802-4333
  • Fax: 702-566-4575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. SYED QUADRI
Title or Position: OWNER
Credential: MD
Phone: 630-802-4333