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NPI Code Detail

MEDICARE: MOHAMMAD EJAZ QURESHI MD

MEDICARE: MOHAMMAD EJAZ QURESHI MD
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
1208D00000XGeneral Practice Physician125236NY

Other Identifiers

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

General Provider Information

NPI Number : 1275696783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD EJAZ QURESHI MD
Provider Business Mailing Address
First Line : 570 WEST 125TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10027-3407
Country : US
Telephone Number : 212-666-6600
Fax Number :
Provider Business Practice Location Address
First Line : 570 WEST 125TH STREET
Second Line :
City : NEW YORK
State : NY
Zip : 10027-3407
Country : US
Telephone Number : 212-666-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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Directions to “ MOHAMMAD EJAZ QURESHI MD” Practice Location

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