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General NPI Number Information
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NPI Number | 1801113204
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Entity Type | Individual
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Provider Name | MARIAM QURESHI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 8111 S EMERSON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8601
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Country | US
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Telephone | 317-528-5261
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Fax | 317-528-5026
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Provider Business Mailing Address
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Address Line | 3455 PEACHTREE RD NE STE 500
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City | ATLANTA
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State | GA
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Zip | 30326-3236
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Country | US
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Telephone | 404-490-1785
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 80901
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 293239
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036136610
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01081783A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 48053
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License Number State | AL
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