Provider Demographics
NPI:1821197526
Name:QURESHI, MAHPARA (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHPARA
Middle Name:
Last Name:QURESHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MAHPARA
Other - Middle Name:
Other - Last Name:BURNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:806 W DIAMOND AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1478
Mailing Address - Country:US
Mailing Address - Phone:301-515-2901
Mailing Address - Fax:
Practice Address - Street 1:806 W DIAMOND AVE STE 110
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1478
Practice Address - Country:US
Practice Address - Phone:301-515-2901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207R00000X207R00000X
PAMD000000208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD430393OtherLICENSE
PA1017851840001Medicaid
PA120420407OtherDEPT OF LABOR
PA704662OtherHEALTH AMERICA
PA25-1716306OtherINFORMED
PA25-1716306OtherINTERGROUP
PA25-1716306OtherMULTIPLAN/PHCS
PA7916926OtherAETNA NON-HMO
PAG920-0055/25RXCUOtherCAREFIRST
PAQU1917297OtherHIGHMARK BLUE SHIELD
PA1561902OtherGATEWAY
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherGREATWEST
PA5741339OtherFIRST HEALTH
PA25-1716306OtherDEVON
PA50060236OtherCAPITAL BLUECROSS
PA867633OtherMEDICARE GROUP #
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA262481OtherUNISON
PAP00390472OtherRAILROAD MEDICARE
PA1440989OtherAETNA HMO
PA2164408OtherMAMSI
PAQU1917297OtherHIGHMARK BLUE SHIELD
PA25-1716306OtherDEVON
PAMD430393OtherLICENSE