Individual
DR. TANVIR I QURESHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
5290 W. BROOKSHIRE COURT, MONROE, MI 48161-3798
(734) 242-5544
(734) 457-6610
Mailing address
5290 W. BROOKSHIRE COURT, MONROE, MI 48161-3798
(734) 242-5544
(734) 457-6610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02894
PARAMOUNT PROVIDER #
MI
01
—
110184781
RR MEDICARE PROVIDER #
MI
01
—
1105800181
BCBS PROVIDER#
MI
05
—
1884958
—
MI
01
—
P40521
BCN
MI
Enumeration date
05/31/2005
Last updated
01/12/2012
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