K Qadir SC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

36114031 Issued in IL

Legal business name

K QADIR SC

Practice address

2020 Ogden Ave
Suite 400
Aurora, IL 60504-5894

Phone

(630) 499-2442

Fax

(630) 499-2452

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Khurram Qadir, MD

Title

President

Phone

(630) 639-7771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VALLEY GASTRO SC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramesh Bathina, MD

  • Interventional Pain Medicine Physician
  • Aurora, IL
  • NPI 1417060146
  NPD (past)
• Shifa Patel, PA-C

  • Physician Assistant
  • Aurora, IL
  • NPI 1336391481
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1508922949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE",
            "address_2": "SUITE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045894",
            "telephone_number": "630-898-3535",
            "fax_number": "630-499-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE",
            "address_2": "SUITE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045894",
            "telephone_number": "630-499-2442",
            "fax_number": "630-499-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K QADIR SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "QADIR",
        "authorized_official_first_name": "KHURRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-639-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "36114031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285924555",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY GASTRO SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Loraine Jungels
• Jessica Carol Jurak, DO
• Angela Jurek
• Hannah Jurkevicius, LCSW
• Justplay Pediatric Therapy and Children'S Play Space LLC
• Lama Alghanem Kabir, DMD
• Lawrence Timothy Kacmar, M.D.
• Kinjal Kadakia, M.D.
• Melissa Kain, LCSW CADC
• Celia Helen Kaiser, BCBA

• Gastroenterology Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.