Provider Demographics
NPI:1902024730
Name:QURESHI, IRFAN AHMED (ND)
Entity Type:Individual
Prefix:DR
First Name:IRFAN
Middle Name:AHMED
Last Name:QURESHI
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9530 MARY AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-2331
Mailing Address - Country:US
Mailing Address - Phone:206-361-0184
Mailing Address - Fax:
Practice Address - Street 1:15245 INTERNATIONAL BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-2146
Practice Address - Country:US
Practice Address - Phone:206-923-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001203175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath