Provider Demographics
NPI:1609846435
Name:QURESHI, AMIR M (MD)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:M
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5700 W MARKHAM ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3380
Mailing Address - Country:US
Mailing Address - Phone:501-227-0184
Mailing Address - Fax:501-227-0187
Practice Address - Street 1:5700 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3380
Practice Address - Country:US
Practice Address - Phone:501-227-0184
Practice Address - Fax:501-227-0187
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2021-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE44762081P2900X
ARE-4476208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR158526001Medicaid
AR158526001Medicaid
AR5N292G365Medicare PIN
HII23158Medicare UPIN