Provider Demographics
NPI:1417175068
Name:QURAISHI, KAMRAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:R
Last Name:QURAISHI
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 1:3604 HINTOCKS CIR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-9148
Mailing Address - Country:US
Mailing Address - Phone:502-345-1561
Mailing Address - Fax:
Practice Address - Street 1:3604 HINTOCKS CIR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-9148
Practice Address - Country:US
Practice Address - Phone:502-345-1561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.157774207R00000X
MTMED-PHYS-LIC-80845207R00000X
SC86662207R00000X
TN55630207R00000X
MO2007022067207R00000X
KY45395207R00000X
FLME145480207R00000X
WAMD61262190207R00000X
MO2004017468207R00000X
WI50607-020207R00000X
IN01074851A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine