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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAWAID QUDDUS, MD, PHD

Active Sole Proprietor

DR. JAWAID QUDDUS, MD, PHD is a Family Medicine healthcare provider located in KENOSHA, Wisconsin. NPI 1386631661 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KENOSHA, WI

Registration Details

NPI Number
1386631661
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2005 (20.835059616549 yrs)
Last Updated
Apr 1, 2011
License
45606-020 (WI)
Sole Proprietor
Yes

Practice Information

Address
6123 GREEN BAY ROAD
SUITE 120
KENOSHA, WI, 531422927
Browse WI providers · Browse ZIP 53142
Phone
2627644390
Fax
2627644396
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in KENOSHA, WI

Name Credential NPI
DR. STEPHEN P FEUERBACH M.D. 1386608677
MISO NIKO MILOSLAVIC MD 1326094731
LEONARDO MONTEMURRO SR. MD 1689620072
XA X XIONG MD 1629015334
ELIZABETH A ANTOO MD 1760422240
SUHEAL HABIBA MD 1932149416
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.