Provider Demographics
NPI:1225232531
Name:QADRI, ASIF MIAN (MD)
Entity Type:Individual
Prefix:
First Name:ASIF
Middle Name:MIAN
Last Name:QADRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 OLD JEFFERSON ROAD
Mailing Address - Street 2:BLDG. 400
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30607-1463
Mailing Address - Country:US
Mailing Address - Phone:706-613-1625
Mailing Address - Fax:706-613-1629
Practice Address - Street 1:3320 OLD JEFFERSON ROAD
Practice Address - Street 2:BLDG. 400
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30607-1463
Practice Address - Country:US
Practice Address - Phone:706-613-1625
Practice Address - Fax:706-613-1629
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35083033207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine