=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770437253
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | Q DERMATOLOGY & AESTHETICS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2026
-----------------------------------------------------
Last Update Date | 02/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9420 KEY WEST AVE STE 405
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20850-6327
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-465-9499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9 JULES BRENTONY CT
-----------------------------------------------------
City | COCKEYSVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21030-1335
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-465-9499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | AZAM AHMED QURESHI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 443-465-9499
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207N00000X
-----------------------------------------------------
Taxonomy Name | Dermatology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------