Individual
SANA QUDDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, FAHEY BUILDING 130, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, FAHEY BUILDING 130, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083485
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301083485
MI
207RP1001X
Pulmonary Disease Physician
Primary
036135184
IL
207RP1001X
Pulmonary Disease Physician
4301083485
MI
Other
Enumeration date
05/25/2007
Last updated
05/10/2016
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