Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 199993 | NY |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD.204068 | LA |
N | 2080P0208X | Pediatric Infectious Diseases | 199993 | NY |
NPI | 1215036348 |
---|---|
Provider Name | Dr. Muhammad Z Qureshi |
First Address | Shreveport, LA 71118-3119 |
Second Address | Shreveport, LA 71118-3119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 28/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02315740 | (05) | NY |
184380001 | (05) | AR |
2120450 | (05) | LA |
215821401 | (05) | TX |
G72803 | (02) | |
G72803 | (02) | LA |