Provider Demographics
NPI:1861452351
Name:QADRI, ASIF S (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIF
Middle Name:S
Last Name:QADRI
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 1:4700 BERWYN HOUSE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740
Mailing Address - Country:US
Mailing Address - Phone:301-474-3232
Mailing Address - Fax:301-474-6358
Practice Address - Street 1:15200 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5631
Practice Address - Country:US
Practice Address - Phone:301-384-2166
Practice Address - Fax:571-349-0204
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022910207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
34750017013ASOtherBC MARYLAND
409113764OtherMEDICARE RAIL ROAD
MD795131100Medicaid
99770001OtherBLUE CROSS DC
409113764OtherMEDICARE RAIL ROAD
34750017013ASOtherBC MARYLAND
MD074046Q23Medicare PIN