Provider Demographics
NPI:1235138850
Name:QURESHI, AKBAR ADIL (MD)
Entity Type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:ADIL
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E IRLO BRONSON MEMORIAL HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4410
Mailing Address - Country:US
Mailing Address - Phone:407-344-0021
Mailing Address - Fax:407-344-0043
Practice Address - Street 1:2901 E IRLO BRONSON MEMORIAL HWY STE B
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5600
Practice Address - Country:US
Practice Address - Phone:407-344-0021
Practice Address - Fax:407-344-0043
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69091208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBQ4676358OtherUS DEPT OF JUSTICE
FL28366OtherBLUE CROSS BLUE SHIELD
FL379151300Medicaid
FL28366OtherBLUE CROSS BLUE SHIELD