Provider Demographics
NPI:1033679162
Name:QURESHI, NOOR UL AIN MUNIRA NAZ (MD)
Entity Type:Individual
Prefix:
First Name:NOOR UL AIN
Middle Name:MUNIRA NAZ
Last Name:QURESHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 S 8TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4884
Mailing Address - Country:US
Mailing Address - Phone:470-604-8250
Mailing Address - Fax:770-999-2814
Practice Address - Street 1:747 S 8TH ST STE B
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4884
Practice Address - Country:US
Practice Address - Phone:470-604-8250
Practice Address - Fax:770-999-2814
Is Sole Proprietor?:No
Enumeration Date:2019-03-24
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91678207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine