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1124379037
ISHTYAQ YASIEN QADRI
DECATUR, GA
NPI
1124379037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03776)
Enumeration Date
2012-10-02
Last Update Date
2022-05-05
Business Address
ISHTYAQ YASIEN QADRI MBBS, PA-C
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
ISHTYAQ YASIEN QADRI MBBS, PA-C
11115 CROFTON OVERLOOK CT
JOHNS CREEK, GA 30097-1950
Phone number:
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