Provider Demographics
NPI:1932211828
Name:KURESHI, IKRAM (MD)
Entity Type:Individual
Prefix:
First Name:IKRAM
Middle Name:
Last Name:KURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MEDICAL DR
Mailing Address - Street 2:STE 260
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6366
Mailing Address - Country:US
Mailing Address - Phone:903-416-6400
Mailing Address - Fax:903-465-6404
Practice Address - Street 1:204 MEDICAL DR
Practice Address - Street 2:STE 260
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6366
Practice Address - Country:US
Practice Address - Phone:903-416-6400
Practice Address - Fax:903-465-6404
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME228763208600000X
TXM8104208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery