Basic Information
Provider Information
NPI: 1013199728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QURESHI
FirstName: SULTANA
MiddleName: AHMED
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1800 ORLEANS ST
Address2: RM 1085 ED DEPT
City: BALTIMORE
State: MD
PostalCode: 212870010
CountryCode: US
TelephoneNumber: 4105028708
FaxNumber:  
Practice Location
Address1: 1504 TAUB LOOP
Address2: EMERGENCY CENTER
City: HOUSTON
State: TX
PostalCode: 770301608
CountryCode: US
TelephoneNumber: 7138732626
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/04/2007
LastUpdateDate: 08/24/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XA101469CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XN6967TXN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XD0080224MDN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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