Organization
AMAD E KADRY, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY L FABIAN (OFFICE MANAGER)
(760) 436-5000
Entity
Organization
Contact information
Practice address
227 N EL CAMINO REAL, STE 100, ENCINITAS, CA 92024-2807
(760) 436-5000
(760) 634-3191
Mailing address
227 N EL CAMINO REAL, STE 100, ENCINITAS, CA 92024-2807
(760) 436-5000
(760) 634-3191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A32917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA32917J
MEDICARE PROVIDER NUMBER
CA
Enumeration date
11/25/2008
Last updated
11/25/2008
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