Provider Demographics
NPI:1013008879
Name:QAISRANI, NOSHIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NOSHIN
Middle Name:
Last Name:QAISRANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NOSHIN
Other - Middle Name:
Other - Last Name:QAISRANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9000 FRANKLIN SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3901
Mailing Address - Country:US
Mailing Address - Phone:443-777-8186
Mailing Address - Fax:443-777-7195
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-4677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064167207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419819100Medicaid
MD419819100Medicaid
MDI72229Medicare UPIN