Individual
ISHRAT QUADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1162 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2410
(860) 236-3084
(860) 561-5961
Mailing address
1162 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2410
(860) 236-3084
(860) 561-5961
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037986
CT
2080A0000X
Pediatric Adolescent Medicine Physician
037986
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001379868
—
CT
01
—
010037986CT01
ANTHEM BLUE SHIELD
CT
01
—
2V2087
HEALTHNET
—
Enumeration date
07/22/2006
Last updated
06/22/2021
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