Provider Demographics
NPI:1730293374
Name:QUADRO, ROBERT E (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:QUADRO
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 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG040361207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1089837OtherGREAT WEST
CA4509275OtherAETNA
CA90026177OtherPACIFICARE
CAMCMG171400OtherWESTERN HEALTH ADVANTAGE
CA000810343593OtherPHCS
CAG40361OtherBLUE CROSS
CA013659OtherHEALTH NET
CA1454474OtherUNITED HEALTHCARE
CA15396OtherINTERPLAN
CA3831163OtherCIGNA
CA1062627OtherFIRST HEALTH
CAG40361OtherBLUE CROSS
CA1062627OtherFIRST HEALTH