Individual
ATIF MAHMOOD QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 587-5852
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 587-5852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243372
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101243372
VIRGINIA MEDICAL BOARD
VA
Enumeration date
05/31/2007
Last updated
11/24/2008
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