Healthcare Provider Details

I. General information

NPI: 1902743024
Provider Name (Legal Business Name): PARISA QURESHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13407 REDSPIRE DR
SILVER SPRING MD
20906-6744
US

IV. Provider business mailing address

13407 REDSPIRE DR
SILVER SPRING MD
20906-6744
US

V. Phone/Fax

Practice location:
  • Phone: 301-602-7850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR208068
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: