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General NPI Number Information
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NPI Number | 1619233749
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Entity Type | Individual
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Provider Name | SYED QADRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 4646 JOHN R ST
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City | DETROIT
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State | MI
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Zip | 48201-1916
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Country | US
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Telephone | 313-576-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 36895 MCKINNEY AVE APT. 201
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City | WESTLAND
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State | MI
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Zip | 48185-1375
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Country | US
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Telephone | 917-334-1606
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301101386
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4301101386
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License Number State | MI
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