Basic Information
Provider Information
NPI: 1730454265
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DURRANI
FirstName: QURATULAIN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 MARTIN LUTHER KING JR BLVD S
Address2: APT G 228
City: PONTIAC
State: MI
PostalCode: 483412900
CountryCode: US
TelephoneNumber: 2489612840
FaxNumber:  
Practice Location
Address1: 44405 WOODWARD AVE
Address2:  
City: PONTIAC
State: MI
PostalCode: 483415023
CountryCode: US
TelephoneNumber: 2488583000
FaxNumber: 2488583244
Other Information
ProviderEnumerationDate: 03/16/2012
LastUpdateDate: 03/30/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD161621ORY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X4301095969MIN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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