Healthcare Provider Details

I. General information

NPI: 1962451658
Provider Name (Legal Business Name): MOHAMMAD ZAFAR QURESHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 W HOSPITAL DR #310
TUCSON AZ
85704-7802
US

IV. Provider business mailing address

PO BOX 32350
TUCSON AZ
85751-2350
US

V. Phone/Fax

Practice location:
  • Phone: 520-298-3666
  • Fax: 520-547-0181
Mailing address:
  • Phone: 520-298-3666
  • Fax: 520-547-0181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD8269
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: