MEDICARE: DR. ADNAN ANWER QURESHI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	277493	NY
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	277493	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154641702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADNAN ANWER QURESHI M.D.

Provider Business Mailing Address
First Line	:	15042 72ND DR
Second Line	:	APT 3G
City	:	FLUSHING
State	:	NY
Zip	:	11367-2633
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 CASTLE HILL AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-1320
Country	:	US
Telephone Number	:	718-824-0500
Fax Number	:	718-824-2373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2010
Last Update Date	:	03/17/2018

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