Provider Demographics
NPI:1417255613
Name:QURESHI, IRAM (DO)
Entity Type:Individual
Prefix:
First Name:IRAM
Middle Name:
Last Name:QURESHI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ERUM
Other - Middle Name:
Other - Last Name:QURESHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:D O
Mailing Address - Street 1:6900 E I 20
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-3105
Mailing Address - Country:US
Mailing Address - Phone:682-231-0039
Mailing Address - Fax:682-235-1178
Practice Address - Street 1:6900 E I 20
Practice Address - Street 2:
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008-3105
Practice Address - Country:US
Practice Address - Phone:682-231-0039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0688207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine