Individual
DR. GHULAM DASTIGIR QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6605 W BROAD ST STE A, RICHMOND, VA 23230-1714
(804) 287-3000
(804) 673-2731
Mailing address
7202 GLEN FOREST DR, C/O VIRGINIA CANCER INSTITUTE SUITE 200, RICHMOND, VA 23226-3781
(804) 673-0134
(804) 673-1796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
541436644
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101021014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6056873
—
VA
01
—
C01120
GROUP PTAN
VA
Enumeration date
01/30/2006
Last updated
09/25/2020
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