Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301112412 | MI |
N | 207V00000X | Obstetrician & Gynecologist | 5315085126 | MI |
Y | 207V00000X | Obstetrician & Gynecologist | A171975 | CA |
N | 207VX0000X | Obstetrician | 4351042771 | MI |
NPI | 1215467717 |
---|---|
Provider Name | Farnoosh Qadri |
First Address | Riverside, CA 92513-0180 |
Second Address | Riverside, CA 92503-3528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2017 |
Last Update Date | 08/11/2021 |