Healthcare Provider Details

I. General information

NPI: 1114980174
Provider Name (Legal Business Name): HAMID RASHID QURAISHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6196 OXON HILL RD SUITE 430
OXON HILL MD
20745-3100
US

IV. Provider business mailing address

6196 OXON HILL RD SUITE 430
OXON HILL MD
20745-3100
US

V. Phone/Fax

Practice location:
  • Phone: 301-567-7200
  • Fax: 301-567-2728
Mailing address:
  • Phone: 301-567-7200
  • Fax: 301-567-2728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberD0014135
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: