Healthcare Provider Details

I. General information

NPI: 1427913276
Provider Name (Legal Business Name): MARIAM QURESHI MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 BUFORD HWY NE STE 275
BROOKHAVEN GA
30329-2143
US

IV. Provider business mailing address

2801 BUFORD HWY NE STE 275
BROOKHAVEN GA
30329-2143
US

V. Phone/Fax

Practice location:
  • Phone: 404-490-1785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIAM RABYA QURESHI
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 404-490-1785