Individual
DR. GHAYAS AHMED QURESHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 CROWLEY RAYNE HWY, CROWLEY, LA 70526
(337) 783-3222
(337) 788-6413
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11742R
LA
207R00000X
Internal Medicine Physician
Primary
MD11742R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1688584
—
LA
01
—
255840YJ9R
PTAN
—
Enumeration date
06/26/2005
Last updated
08/21/2019
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