Individual
MRS. KAMARTAJ S QUADRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4937 PHEASANT CT, SCHERERVILLE, IN 46375-3385
(219) 793-9214
Mailing address
4937 PHEASANT CT, SCHERERVILLE, IN 46375-3385
(219) 793-9214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050515A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000294450
BLUE CROSS
IN
05
—
200223180
—
IN
01
—
5948035
AETNA
—
01
—
P00003906
RAILROAD MEDICARE
—
01
—
PR20503560001
CIGNA HEALTHSOURCE
—
Enumeration date
10/02/2006
Last updated
02/14/2025
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