MEDICARE: QURATULAIN ZEESHAN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	285839	NY

General Provider Information

NPI Number	:	1508266321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QURATULAIN ZEESHAN M.D.

Provider Business Mailing Address
First Line	:	1250 WATERS PL STE 1206
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2720
Country	:	US
Telephone Number	:	718-409-5454
Fax Number	:	718-409-0857

Provider Business Practice Location Address
First Line	:	1250 WATERS PL STE 1206
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2720
Country	:	US
Telephone Number	:	718-409-5454
Fax Number	:	718-409-0857

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

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	03/17/2018

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