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Individual

DR. ABDUL QADIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4250 AUBURN BLVD, SACRAMENTO, CA 95841-4100
(916) 489-3336
(916) 830-1278
Mailing address
PO BOX 1247, SAN RAMON, CA 94583-6247
(916) 616-5771

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A120113
CA
2084P0800X
Psychiatry Physician
MD00049014
WA
390200000X
Student in an Organized Health Care Education/Training Program
19575
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8524043
WA
Enumeration date
05/21/2007
Last updated
03/08/2020
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