Provider Demographics
NPI:1962451658
Name:QURESHI, MOHAMMAD ZAFAR (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:ZAFAR
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32350
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-2350
Mailing Address - Country:US
Mailing Address - Phone:520-298-3666
Mailing Address - Fax:520-547-0181
Practice Address - Street 1:1980 W HOSPITAL DR
Practice Address - Street 2:#310
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7802
Practice Address - Country:US
Practice Address - Phone:520-298-3666
Practice Address - Fax:520-547-0181
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMD8269207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ20-00268OtherUNITED HEALTH CARE
AZ238213Medicaid
AZAZ 0339930OtherBLUE CROSS/BLUE SHIELD
AZMD8269Medicare ID - Type UnspecifiedFOR TUCSON
AZ238213Medicaid
AZ20-00268OtherUNITED HEALTH CARE