Provider Demographics
NPI:1942175989
Name:QUADRI, MUHAMMAD TALHA (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:TALHA
Last Name:QUADRI
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-650 PUHAU WAY
Mailing Address - Street 2:94-650 PUHAU WAY
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1252
Mailing Address - Country:US
Mailing Address - Phone:808-202-1227
Mailing Address - Fax:
Practice Address - Street 1:197 SAND ISLAND ACCESS RD STE 201D
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4901
Practice Address - Country:US
Practice Address - Phone:808-533-3936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
HILSW-2773104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health