| Dr Abdul Qadir, MD | |
|
130 Centerway, Corning, NY 14830 | |
| (607) 936-9971 | |
| (607) 936-2600 |
| Full Name | Dr Abdul Qadir |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 130 Centerway, Corning, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659345189 | NPI | - | NPPES |
| 00689318 | Medicaid | NY | |
| 370019261 | Other | NY | RR MEDICARE PIN |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| 0011791900002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 142784-1 (New York) | Primary |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abdul Qadir, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Abdul Qadir, MD 130 Centerway, Corning, NY 14830 Ph: (607) 936-9971 |
Dr. Rowshanul I Khan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Centerway, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 | |
Karleena Marie Mickle, FNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Guthrie Dr, Corning, NY 14830 Phone: 607-973-7200 Fax: 607-937-7866 | |
Deepa Manimegalan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-973-8022 Fax: 607-937-1842 | |
Dr. Amechi Valentine Odife Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 Fax: 607-936-2600 | |
Mrs. Andrea Denise Worley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-973-8022 Fax: 607-937-1842 | |
Foram Gandhi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 130 Center Way, Corning, NY 14830 Phone: 607-936-9971 |