Provider Demographics
NPI:1417973082
Name:QADIR, SONIA KARIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:KARIMA
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:ONE SOMMERSET STREET
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-8411
Mailing Address - Country:US
Mailing Address - Phone:631-271-3075
Mailing Address - Fax:631-271-3018
Practice Address - Street 1:900 WALT WHITMAN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2293
Practice Address - Country:US
Practice Address - Phone:631-271-3075
Practice Address - Fax:631-271-3018
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY232820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI19922Medicare UPIN