Individual
MUSTAFA H QURAISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1428 DUNWOODY VILLAGE PKWY, DUNWOODY, GA 30338-4123
(770) 394-2358
(770) 394-3055
Mailing address
1428 DUNWOODY VILLAGE PKWY, DUNWOODY, GA 30338-4123
(770) 394-2358
(770) 394-3055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-086194
OH
208000000X
Pediatrics Physician
Primary
57992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365029
ANTHEM
OH
05
—
107994871B
—
GA
Enumeration date
04/09/2006
Last updated
09/26/2019
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