Provider Demographics
NPI:1447211719
Name:QADRI, JOWAIRIA (MD)
Entity Type:Individual
Prefix:
First Name:JOWAIRIA
Middle Name:
Last Name:QADRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 E. ALTAMONTE DRIVE,
Mailing Address - Street 2:#213
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701
Mailing Address - Country:US
Mailing Address - Phone:407-339-1519
Mailing Address - Fax:407-339-6003
Practice Address - Street 1:661 E. ALTAMONTE DRIVE,
Practice Address - Street 2:#213
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701
Practice Address - Country:US
Practice Address - Phone:407-339-1519
Practice Address - Fax:407-339-6003
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 40384207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA98564Medicare UPIN