Provider Demographics
NPI:1831268390
Name:QADIR, MOHAMMAD TAUSEEF (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:TAUSEEF
Last Name:QADIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15289 NOONING TREE COURT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017
Mailing Address - Country:US
Mailing Address - Phone:636-536-1476
Mailing Address - Fax:636-536-1476
Practice Address - Street 1:JOHN J.COCHRAN VA MEDICAL CENTER
Practice Address - Street 2:915 NORTH GRAND BLVD
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106
Practice Address - Country:US
Practice Address - Phone:314-652-4100
Practice Address - Fax:314-289-6478
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY223108-1207R00000X
MO2002015272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine