Alam Mian Qadri, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

35036312Q Issued in OH

Practice address

1315 Connecticut Woods Dr
Hudson, OH 44236-1271

Phone

(330) 655-7794

Fax

(330) 929-7004

NPI assigned

Dec 2, 2005

Last updated

Apr 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1942284823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CONNECTICUT WOODS DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361271",
            "telephone_number": "330-655-7794",
            "fax_number": "330-929-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 CONNECTICUT WOODS DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361271",
            "telephone_number": "330-655-7794",
            "fax_number": "330-929-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADRI",
        "first_name": "ALAM",
        "middle_name": "MIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "OH",
            "license": "35036312Q",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35036312Q",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0529495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preventiononlyllc
• Preventiononlyllc
• Ryan Proud
• Deborah Pryor, PT
• Mitchell D Pugh
• Azam Mian Qadri, DDS
• Yasmeen Anjum Qureshi, MD
• Brandon Philip Ra, PHARMD
• Richard J Rasper, DPM
• Ray Recovery Oh LLC

• Anatomic Pathology & Clinical Pathology Physician in Hudson, OH
• Providers in Hudson, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.