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1831211440 NPI number — TANVEER A. QURESHI, M.D., P.A.

NPI Number: 1831211440
Health Care Provider/Practitioner: TANVEER A. QURESHI, M.D., P.A.

Information about “1831211440” NPI (TANVEER A. QURESHI, M.D., P.A.) exists in 1831211440 in HTML format HTML  |  1831211440 in plain Text format TXT  |  1831211440 in PDF (Portable Document Format) PDF  |  1831211440 in an XML format XML  formats.

NPI Number : 1831211440 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831211440",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TANVEER A. QURESHI, M.D., P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3304 COLORADO BLVD STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76210-6872",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "940-566-2358",
    "MailingAddressFaxNumber": "940-381-2613",
    "FirstLinePracticeLocationAddress": "3304 COLORADO BLVD STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76210-6872",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-566-2358",
    "PracticeLocationAddressFaxNumber": "940-381-2613",
    "EnumerationDate": "04/04/2007",
    "LastUpdateDate": "11/16/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "QURESHI",
    "AuthorizedOfficialFirstName": "FARAZ",
    "AuthorizedOfficialMiddleName": "A,",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "940-566-2358",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "229039",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RI0011X",
          "TaxonomyName": "Interventional Cardiology Physician",
          "LicenseNumber": "E7239",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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