Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 18341 | NH |
NPI | 1093941924 |
---|---|
Provider Name | Dr. Muhammad Muddasir Qureshi |
First Address | Manchester, NH 03109-4133 |
Second Address | Manchester, NH 03109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2009 |
Last Update Date | 05/08/2019 |