MEDICARE: IMRAN MOHAMMED QURESHI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	T7700	TX
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	T7700	TX
3	208100000X	Physical Medicine & Rehabilitation Physician	11010	AZ
4	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467080622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMRAN MOHAMMED QURESHI D.O.

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	281-982-2144
Fax Number	:

Provider Business Practice Location Address
First Line	:	23501 CINCO RANCH BLVD STE G205
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3286
Country	:	US
Telephone Number	:	281-982-2144
Fax Number	:	855-540-2487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	01/14/2026

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