Provider Demographics
NPI:1720609175
Name:QADOURAH, HANEEN (MD)
Entity type:Individual
Prefix:
First Name:HANEEN
Middle Name:
Last Name:QADOURAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEILLCORNELLINTERNALMEDICINEASSOCIATES
Mailing Address - Street 2:505 EAST 70TH STREET
Mailing Address - City:NEWYORKCITY
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-2900
Mailing Address - Fax:
Practice Address - Street 1:WEILLCORNELLINTERNALMEDICINEASSOCIATES
Practice Address - Street 2:505EAST70THSTREET
Practice Address - City:NEWYORKCITY
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-27
Last Update Date:2022-06-14
Deactivation Date:2022-01-10
Deactivation Code:
Reactivation Date:2022-06-14
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program