Individual
ISHTYAQ YASIEN QADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, PA-C
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-5094
Mailing address
11115 CROFTON OVERLOOK CT, JOHNS CREEK, GA 30097-1950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03776
NC
Other
Enumeration date
10/02/2012
Last updated
05/05/2022
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