Individual
DR. NISHANT MICHAEL DE QUADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 CENTER ST, THE MEDICAL CENTER, COLUMBUS, GA 31901-2608
(706) 501-1000
Mailing address
1701 WILLIAMS CT, APT 1103, COLUMBUS, GA 31904-3901
(216) 374-9444
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301087927
MI
Other
Enumeration date
05/27/2007
Last updated
07/10/2012
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