Individual
KAWTHER ALQUADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, BOX 100224, GAINESVILLE, FL 32610-0224
(352) 273-8822
Mailing address
1600 SW ARCHER RD, BOX 100224, GAINESVILLE, FL 32610-0224
(352) 273-8822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP02228
RI
207RN0300X
Nephrology Physician
Primary
ME126656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017480900
—
FL
Enumeration date
07/11/2011
Last updated
07/05/2016
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