Provider Demographics
NPI:1942366638
Name:KADIR, LAMIA (MD)
Entity type:Individual
Prefix:DR
First Name:LAMIA
Middle Name:
Last Name:KADIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 PALM WAY STE 134
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-7899
Mailing Address - Country:US
Mailing Address - Phone:888-663-6331
Mailing Address - Fax:512-692-4337
Practice Address - Street 1:3001 PALM WAY STE 134
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7899
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87494207Q00000X
TXM5265207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX613647-02Medicaid
TX0000271908OtherHMSA BILLING NUMBER
TX0000271908OtherHMSA BILLING NUMBER
TX613647-02Medicaid