Individual
DR. QAIS RADAIDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-44090
IA
207RC0000X
Cardiovascular Disease Physician
33321
NE
207RI0011X
Interventional Cardiology Physician
Primary
85470-20
WI
208M00000X
Hospitalist Physician
MD-44090
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373987
—
WI
Enumeration date
07/14/2014
Last updated
02/23/2026
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