Provider Demographics
NPI:1912195983
Name:AHMAD I. QADRI, M. D., P. A.
Entity Type:Organization
Organization Name:AHMAD I. QADRI, M. D., P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:I
Authorized Official - Last Name:QADRI
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:361-485-9600
Mailing Address - Street 1:601 E SAN ANTONIO ST
Mailing Address - Street 2:SUITE 402W
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6040
Mailing Address - Country:US
Mailing Address - Phone:361-485-9600
Mailing Address - Fax:361-485-9610
Practice Address - Street 1:601 E SAN ANTONIO ST
Practice Address - Street 2:SUITE 402W
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6040
Practice Address - Country:US
Practice Address - Phone:361-485-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3079207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149679601Medicaid
TXG28763Medicare UPIN
TX5018550001Medicare NSC
830008114Medicare PIN