Provider Demographics
NPI:1952689838
Name:QURESHI, NISHA NASIR
Entity Type:Individual
Prefix:DR
First Name:NISHA
Middle Name:NASIR
Last Name:QURESHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13200 ANTHEM GREENFIELDS DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-6330
Mailing Address - Country:US
Mailing Address - Phone:512-971-1706
Mailing Address - Fax:
Practice Address - Street 1:13200 ANTHEM GREENFIELDS DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-6330
Practice Address - Country:US
Practice Address - Phone:512-971-1706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114717207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine