Provider Demographics
NPI:1871040071
Name:QURESHI, SEEMIN (PA-C)
Entity Type:Individual
Prefix:
First Name:SEEMIN
Middle Name:
Last Name:QURESHI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SEEMIN
Other - Middle Name:
Other - Last Name:TAJUDDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:6819 TRAILVIEW CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4562
Mailing Address - Country:US
Mailing Address - Phone:734-658-0724
Mailing Address - Fax:
Practice Address - Street 1:1800 N MILFORD RD STE 100
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-1047
Practice Address - Country:US
Practice Address - Phone:248-684-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI56010078982084P0800X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry