Basic Information
| Provider Information | |||||||||
| NPI: | 1861452351 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QADRI | ||||||||
| FirstName: | ASIF | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4700 BERWYN HOUSE RD | ||||||||
| Address2: | STE 100 | ||||||||
| City: | COLLEGE PARK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 20740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014743232 | ||||||||
| FaxNumber: | 3014746358 | ||||||||
| Practice Location | |||||||||
| Address1: | 15200 NEW HAMPSHIRE AVE | ||||||||
| Address2: | |||||||||
| City: | SILVER SPRING | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209055631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3013842166 | ||||||||
| FaxNumber: | 5713490204 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2006 | ||||||||
| LastUpdateDate: | 08/26/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | D0022910 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 34750017013AS | 01 | BC MARYLAND | OTHER | 409113764 | 01 | MEDICARE RAIL ROAD | OTHER | 795131100 | 05 | MD | MEDICAID | 99770001 | 01 | BLUE CROSS DC | OTHER |