Healthcare Provider Details

I. General information

NPI: 1659063865
Provider Name (Legal Business Name): HASHAM MASOOD QURESHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 N DOUTY ST FL 3
HANFORD CA
93230-3722
US

IV. Provider business mailing address

6171 N SHERIDAN RD APT 1606
CHICAGO IL
60660-5856
US

V. Phone/Fax

Practice location:
  • Phone: 518-815-0980
  • Fax:
Mailing address:
  • Phone: 518-815-0980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA204490
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: