Provider Demographics
NPI:1205092236
Name:QADIR, REHANA (MD)
Entity type:Individual
Prefix:
First Name:REHANA
Middle Name:
Last Name:QADIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REHANA
Other - Middle Name:
Other - Last Name:QADIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3495 S CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48519-1455
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1510 S STATE RD STE D
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-1965
Practice Address - Country:US
Practice Address - Phone:810-652-3600
Practice Address - Fax:810-652-3603
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301106617207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine