Provider Demographics
NPI:1326127358
Name:QUADRI, NAZNEEN M (MD)
Entity Type:Individual
Prefix:
First Name:NAZNEEN
Middle Name:M
Last Name:QUADRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5692 FAR HILLS AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-2239
Mailing Address - Country:US
Mailing Address - Phone:937-428-0020
Mailing Address - Fax:937-428-0023
Practice Address - Street 1:5692 FAR HILLS AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-2239
Practice Address - Country:US
Practice Address - Phone:937-428-0020
Practice Address - Fax:937-428-0023
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35062363Q208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0869341Medicaid