Individual
SYED SHAH HASANUDDIN QADRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26701 HILLSIDE AVE, FLORAL PARK, NY 11004-1743
(718) 343-7790
Mailing address
26701 HILLSIDE AVE, FLORAL PARK, NY 11004-1743
(718) 343-7790
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
259223
NY
207RI0011X
Interventional Cardiology Physician
Primary
259223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03415625
—
NY
Enumeration date
04/12/2007
Last updated
03/21/2017
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