Healthcare Provider Details

I. General information

NPI: 1730163429
Provider Name (Legal Business Name): MOHAMMED ARSHED QURESHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 SMITH AVE N STE 440
SAINT PAUL MN
55102-2316
US

IV. Provider business mailing address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

V. Phone/Fax

Practice location:
  • Phone: 651-241-6550
  • Fax: 651-241-6586
Mailing address:
  • Phone: 612-262-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number11543
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: