Individual
EBENEZER KHURAM QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1507 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-1201
(623) 215-0040
(623) 935-9602
Mailing address
1507 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-1201
(623) 215-0040
(623) 935-9602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
58215
CA
363AM0700X
Medical Physician Assistant
Primary
3253
AZ
Other
Enumeration date
07/03/2006
Last updated
07/01/2022
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