Individual
GHAZANFAR HUSEIN QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(470) 273-6263
(678) 916-4957
Mailing address
1468 MONTREAL RD # 320, TUCKER, GA 30084-6901
(470) 273-6263
(678) 916-4957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0066145
MD
207RC0000X
Cardiovascular Disease Physician
32594
AL
207RC0000X
Cardiovascular Disease Physician
Primary
81220
GA
208M00000X
Hospitalist Physician
TMP-01972
WV
390200000X
Student in an Organized Health Care Education/Training Program
253253-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12563410
CAQH
GA
Enumeration date
07/16/2008
Last updated
12/19/2018
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