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NPI Code Detail

MEDICARE: GHAZANFAR HUSEIN QURESHI MD

MEDICARE: GHAZANFAR HUSEIN QURESHI MD
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
1207R00000XInternal Medicine PhysicianD0066145MD
2207RC0000XCardiovascular Disease Physician32594AL
3208M00000XHospitalist PhysicianTMP-01972WV
4390200000XStudent in an Organized Health Care Education/Training Program253253-1NY
5207RC0000XCardiovascular Disease Physician81220GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112563410OTHERGACAQH

General Provider Information

NPI Number : 1821252081
Entity Type Code : Individual
Provider Name (Legal Business Name) : GHAZANFAR HUSEIN QURESHI MD
Provider Business Mailing Address
First Line : 1468 MONTREAL RD # 320
Second Line :
City : TUCKER
State : GA
Zip : 30084-6901
Country : US
Telephone Number : 470-273-6263
Fax Number : 678-916-4957
Provider Business Practice Location Address
First Line : 1468 MONTREAL RD
Second Line :
City : TUCKER
State : GA
Zip : 30084-6901
Country : US
Telephone Number : 470-273-6263
Fax Number : 678-916-4957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 12/19/2018

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