Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 049766 | CT |
N | 111NI0900X | Internist | 049766 | CT |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD458044 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD458044 | PA |
NPI | 1992013338 |
---|---|
Provider Name | Ataul M Qureshi |
First Address | Danville, PA 17822-4903 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2010 |
Last Update Date | 19/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1992013338 | (05) | CT |