Individual
DR. EHSAN QADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 WALLACE AVE., LEITCHFIELD, KY 42754-2414
(270) 259-1656
(270) 259-9536
Mailing address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 259-1656
(270) 259-9536
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33703
KY
207R00000X
Internal Medicine Physician
Primary
33703
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312389
ANTHEM
KY
01
—
000000313491
ANTHEM
KY
05
—
64337033
—
KY
01
—
P00104258
RAILROAD MEDICARE
KY
01
—
P00145372
RAILROAD MEDICARE
KY
Enumeration date
08/22/2005
Last updated
12/22/2008
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