Provider Demographics
NPI:1235186628
Name:QURESHI, JUNAID I (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNAID
Middle Name:I
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4531 N 16TH ST STE 114
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-5344
Mailing Address - Country:US
Mailing Address - Phone:480-839-3313
Mailing Address - Fax:602-296-0404
Practice Address - Street 1:1728 W GLENDALE AVE STE 204
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8863
Practice Address - Country:US
Practice Address - Phone:623-522-4935
Practice Address - Fax:623-522-4937
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ33986208M00000X, 207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ968414Medicaid
AZ968414Medicaid
AZ109759Medicare PIN