Healthcare Provider Details

I. General information

NPI: 1518492370
Provider Name (Legal Business Name): FATIMA QURESHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2017
Last Update Date: 04/16/2025
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 MAIN ST STE 306
PHOENIXVILLE PA
19460-4478
US

IV. Provider business mailing address

7703 FLOYD CURL DR
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 610-983-1941
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD482177
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: