Provider Demographics
NPI:1376726521
Name:HAMID R QURAISHI MD & SHANNAZ H QURAISHI MD PA
Entity Type:Organization
Organization Name:HAMID R QURAISHI MD & SHANNAZ H QURAISHI MD PA
Other - Org Name:OXON HILL ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-567-7200
Mailing Address - Street 1:6196 OXON HILL RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3100
Mailing Address - Country:US
Mailing Address - Phone:301-567-7200
Mailing Address - Fax:301-567-2728
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:SUITE 430
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-567-7200
Practice Address - Fax:301-567-2728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014835207VG0400X
MDD0014135207X00000X
MDD0039416208100000X
MDC0002868363A00000X
MDR119098363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G02076Medicare PIN