Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41988 | CT |
N | 111NI0900X | Internist | 41988 | CT |
Y | 207RG0300X | Geriatric Medicine | 041988 | CT |
NPI | 1043281348 |
---|---|
Provider Name | Dr. Mohammed A Qureshi |
First Address | Norwich, CT 06360-2740 |
Second Address | Norwich, CT 06360-2740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 22/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008011820 | (05) | CT |
H43253 | (02) | CT |