Individual
DR. MOHAMMAD ABRAAR QURAISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(800) 457-7428
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2016-0958
NM
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD2016-0958
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96175036
—
NM
Enumeration date
04/18/2011
Last updated
10/02/2017
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