Provider Demographics
NPI:1912997511
Name:QURASHI, SULTANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SULTANA
Middle Name:
Last Name:QURASHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 CHEW ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3406
Mailing Address - Country:US
Mailing Address - Phone:610-776-5105
Mailing Address - Fax:610-776-5935
Practice Address - Street 1:450 CHEW ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3434
Practice Address - Country:US
Practice Address - Phone:610-776-5105
Practice Address - Fax:610-776-5935
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037328L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
114660OtherUNISON
189787OtherHIGHMARK BLUE SHIELD
50049410OtherCBC
PA0008457400002Medicaid
0022090000OtherIBC
1005201OtherAMERIHEALTH MERCY
1554702OtherGATEWAY HEALTH PLAN
PA189787HR2Medicare PIN
PA110162687Medicare PIN
114660OtherUNISON