Provider Demographics
NPI:1184698466
Name:EL-KADI, HISHAM S (MD)
Entity type:Individual
Prefix:DR
First Name:HISHAM
Middle Name:S
Last Name:EL-KADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4247 ROUTE 9 N
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8307
Mailing Address - Country:US
Mailing Address - Phone:732-780-7650
Mailing Address - Fax:732-780-8817
Practice Address - Street 1:4247 ROUTE 9 N
Practice Address - Street 2:BUILDING 1
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8307
Practice Address - Country:US
Practice Address - Phone:732-780-7650
Practice Address - Fax:732-780-8817
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA056265207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ002128Medicare ID - Type Unspecified
NJG06497Medicare UPIN