Provider Demographics
NPI:1821612003
Name:KASHIF ALI QURESHI MD PA
Entity Type:Organization
Organization Name:KASHIF ALI QURESHI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KASHIF
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-471-9592
Mailing Address - Street 1:10900 JONES RD STE 1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5471
Mailing Address - Country:US
Mailing Address - Phone:281-377-4995
Mailing Address - Fax:888-845-6813
Practice Address - Street 1:11970 WILCREST DR STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-1923
Practice Address - Country:US
Practice Address - Phone:281-933-8017
Practice Address - Fax:888-845-6813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty