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NPI Code Detail

MEDICARE: NIGHAT S QADRI MD

MEDICARE: NIGHAT S QADRI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2005010630MO

General Provider Information

NPI Number : 1316910987
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIGHAT S QADRI MD
Provider Business Mailing Address
First Line : 1032 CROSSWINDS CT
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-4836
Country : US
Telephone Number : 636-332-8000
Fax Number : 636-332-9950
Provider Business Practice Location Address
First Line : 1032 CROSSWINDS CT
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-4836
Country : US
Telephone Number : 636-332-8000
Fax Number : 636-332-9950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 09/25/2007

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