Provider Demographics
NPI:1306846910
Name:QADIR, MALIHA M (MD)
Entity Type:Individual
Prefix:
First Name:MALIHA
Middle Name:M
Last Name:QADIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5575 W LAS POSITAS BLVD
Mailing Address - Street 2:# 130
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-5801
Mailing Address - Country:US
Mailing Address - Phone:925-463-0590
Mailing Address - Fax:925-847-9532
Practice Address - Street 1:5575 W LAS POSITAS BLVD
Practice Address - Street 2:# 130
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5801
Practice Address - Country:US
Practice Address - Phone:925-463-0590
Practice Address - Fax:925-847-9532
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA53376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A533760Medicaid
G36754Medicare UPIN
CA00A533760Medicaid