Healthcare Provider Details

I. General information

NPI: 1184240855
Provider Name (Legal Business Name): RAFAY QURESHI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CAMBRIDGE ST FL 10
HOUSTON TX
77030-4202
US

IV. Provider business mailing address

12121 RICHMOND AVE STE 417
HOUSTON TX
77082-2439
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-5700
  • Fax:
Mailing address:
  • Phone: 281-597-1630
  • Fax: 281-531-9600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberT20-2020
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number692067
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: