Provider Demographics
NPI:1457912255
Name:QUADRI, HUMZA OMAR (MD)
Entity type:Individual
Prefix:
First Name:HUMZA
Middle Name:OMAR
Last Name:QUADRI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:551 E SOUTHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-4236
Mailing Address - Country:US
Mailing Address - Phone:573-884-7733
Mailing Address - Fax:573-882-6228
Practice Address - Street 1:3009 N BALLAS RD STE 100B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2322
Practice Address - Country:US
Practice Address - Phone:314-432-1111
Practice Address - Fax:314-432-3629
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2024-07-02
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Provider Licenses
StateLicense IDTaxonomies
MO2019022856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine