Organization Active NPI

Affan Quadri MD, PA

  • Gastroenterology Physician
  • Orange Park, FL
National Provider Identifier
1063765535
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
AFFAN QUADRI MD, PA
Practice address
3627 Westover Rd
Orange Park, FL 32003-7105
Phone
(904) 298-2272
NPI assigned
Oct 22, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdulhadi Quardi, MD
Title
Ceo
Phone
(904) 298-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

3627 Westover Rd
Orange Park, FL 32003-7105

Mailing address

3627 Westover Rd
Orange Park, FL 32003-7105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1063765535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 WESTOVER RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 WESTOVER RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320037105",
            "telephone_number": "904-298-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFAN QUADRI MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "QUARDI",
        "authorized_official_first_name": "ABDULHADI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-298-2272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.