Provider Demographics
NPI:1225267081
Name:QURESHI, WAQAS T (MD, MBBS)
Entity Type:Individual
Prefix:DR
First Name:WAQAS
Middle Name:T
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD, MBBS
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Other - Credentials:
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:55 LAKE AVE N
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655-0002
Practice Address - Country:US
Practice Address - Phone:508-334-3452
Practice Address - Fax:774-441-7657
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2021-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA277225207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease