Organization
QUADRI BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR H QUADRI MD (OWNER)
(314) 222-5882
Entity
Organization
Contact information
Practice address
9890 CLAYTON RD STE 100, SAINT LOUIS, MO 63124-1685
(314) 222-5882
(314) 222-5883
Mailing address
9890 CLAYTON RD STE 100, SAINT LOUIS, MO 63124-1685
(314) 222-5882
(314) 222-5883
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
101435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000050162
MEDICARE PTAN
MO
01
—
071540162
MEDICARE INDIVI PTAN
MO
01
—
101435
LICENSE MEDICAL
MO
01
—
1811071665
INDIVIDUAL NPI
MO
05
—
1811071665
—
MO
01
—
24211
CDS/BNDD
MO
Enumeration date
10/03/2016
Last updated
03/07/2023
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