Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 4301081008 | MI |
NPI | 1043260821 |
---|---|
Provider Name | Ahsan A Qureshi |
First Address | Kalamazoo, MI 49007-3889 |
Second Address | Kalamazoo, MI 49007-3889 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 28/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104534102 | (05) | MI |
104534149 | (05) | MI |
104534185 | (05) | MI |
104871710 | (05) | MI |
1101310711 | BCBS INDIVIDUAL (01) | MI |
110C910500 | BCBS (01) | MI |
H86642 | (02) |