Provider Demographics
NPI:1760776892
Name:QURESHI, OMAR RASHID (DO)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:RASHID
Last Name:QURESHI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ELECTRIC AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7954
Mailing Address - Country:US
Mailing Address - Phone:978-343-7246
Mailing Address - Fax:978-343-7247
Practice Address - Street 1:33 ELECTRIC AVE STE 102
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7954
Practice Address - Country:US
Practice Address - Phone:978-343-7246
Practice Address - Fax:978-343-7247
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA268137207LP2900X
MA268139208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine