Healthcare Provider Details

I. General information

NPI: 1407810740
Provider Name (Legal Business Name): SOBIA A QUDSI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOBIA SAEED

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 DEGRANDPRE WAY
PLATTSBURGH NY
12901-6449
US

IV. Provider business mailing address

9 CAREY RD
QUEENSBURY NY
12804-7880
US

V. Phone/Fax

Practice location:
  • Phone: 518-824-2563
  • Fax: 833-448-3030
Mailing address:
  • Phone: 518-761-0300
  • Fax: 518-824-2388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number211552
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: