Individual
GHAYYUR A QURESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE STE 215, CARMICHAEL, CA 95608-0303
(916) 536-2449
(916) 844-1565
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
49711
WI
207RP1001X
Pulmonary Disease Physician
Primary
C55607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177520000007
—
PA
05
—
34724900
—
WI
Enumeration date
08/18/2005
Last updated
10/21/2020
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