Provider Demographics
NPI:1609839109
Name:QURESHI, SALEEM MON (MD MHSA)
Entity Type:Individual
Prefix:DR
First Name:SALEEM
Middle Name:MON
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD MHSA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26901
Mailing Address - Street 2:VAMC11G
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-0901
Mailing Address - Country:US
Mailing Address - Phone:405-271-8558
Mailing Address - Fax:405-271-3887
Practice Address - Street 1:825 NE 10TH ST
Practice Address - Street 2:OUPB4300
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-3050
Practice Address - Fax:405-271-1413
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2011-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101-237703207R00000X
OK25663207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAI148305Medicare UPIN