Provider Demographics
NPI:1023236593
Name:ASIF S QADRI M.D. P.A. GROUP
Entity type:Organization
Organization Name:ASIF S QADRI M.D. P.A. GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN301
Authorized Official - Prefix:
Authorized Official - First Name:ASIF
Authorized Official - Middle Name:S
Authorized Official - Last Name:QADRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-474-3232
Mailing Address - Street 1:4700 BERWYN HOUSE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2474
Mailing Address - Country:US
Mailing Address - Phone:301-474-3232
Mailing Address - Fax:301-474-6358
Practice Address - Street 1:4700 BERWYN HOUSE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-2474
Practice Address - Country:US
Practice Address - Phone:301-474-3232
Practice Address - Fax:301-474-6358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022910207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MH405311700OtherMEDICAL ASSISTANCE
DC9977OtherCARE FIRST BC BS
MD7013OtherCAREFIRST BC BS
409113764OtherMEDICARE RAILROAD
MH405311700OtherMEDICAL ASSISTANCE
MD036123Medicare ID - Type Unspecified
DC9977OtherCARE FIRST BC BS