Basic Information
| Provider Information | |||||||||
| NPI: | 1043342116 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | QUADIR JALEEL MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17660 CLOVER ST | ||||||||
| Address2: | |||||||||
| City: | BROWNSTOWN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481938806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7344620340 | ||||||||
| FaxNumber: | 7344620344 | ||||||||
| Practice Location | |||||||||
| Address1: | 3120 CARPENTER ST | ||||||||
| Address2: | |||||||||
| City: | HAMTRAMCK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482129802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3138918246 | ||||||||
| FaxNumber: | 3138918247 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | JALEEL | ||||||||
| AuthorizedOfficialFirstName: | QUADIR | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7344620340 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.