Provider Demographics
NPI:1508266321
Name:ZEESHAN, QURATULAIN (MD)
Entity Type:Individual
Prefix:
First Name:QURATULAIN
Middle Name:
Last Name:ZEESHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:QURATULAIN
Other - Middle Name:
Other - Last Name:BUTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1250 WATERS PL STE 1206
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2720
Mailing Address - Country:US
Mailing Address - Phone:718-409-5454
Mailing Address - Fax:718-409-0857
Practice Address - Street 1:1250 WATERS PL STE 1206
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:718-409-5454
Practice Address - Fax:718-409-0857
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285839207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty