Kadri, Iftekhar

Kadri, Iftekhar is an sole proprietor health care provider with primary practice located at 372 Valley Rd , West Orange NJ 07052-5303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kadri, Iftekhar can be contacted via phone (973) 736-2600.

Contact Information

Primary practice address
372 Valley Rd West Orange NJ 07052-5303
Fax: (973) 736-8355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA43002 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA43002 New Jersey

Profile Details

NPI number 1093711947
LBN Legal business name Kadri, Iftekhar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Dec 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093711947 NPPES
New Jersey MEDICAID 1190202

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