Provider Demographics
NPI:1487833042
Name:QURESHI, SALAH UDDIN (MD)
Entity Type:Individual
Prefix:
First Name:SALAH
Middle Name:UDDIN
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 1:2437 BAY AREA BLVD
Mailing Address - Street 2:# 234
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-1519
Mailing Address - Country:US
Mailing Address - Phone:281-816-5930
Mailing Address - Fax:
Practice Address - Street 1:106 WHISPERING PINES AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546
Practice Address - Country:US
Practice Address - Phone:281-816-5930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2464362084P0800X
TXN65912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX219071201Medicaid
TX8CT122OtherBCBS TX
TXTXB118649Medicare PIN