Qadri, Syed Shah Hasanuddin

Qadri, Syed Shah Hasanuddin is an sole proprietor health care provider with primary practice located at 26701 Hillside Ave , Floral Park NY 11004-1743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Qadri, Syed Shah Hasanuddin can be contacted via phone (718) 343-7790.

Contact Information

Primary practice address
26701 Hillside Ave Floral Park NY 11004-1743
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 259223 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 259223 New York

Profile Details

NPI number 1104040369
LBN Legal business name Qadri, Syed Shah Hasanuddin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Mar 21st, 2017 - about 7 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 1104040369 NPPES
New York MEDICAID 03415625

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