Provider Demographics
NPI:1932368743
Name:QURAINI, DIMA (MD)
Entity Type:Individual
Prefix:
First Name:DIMA
Middle Name:
Last Name:QURAINI
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 1:72 WASHINGTON ST
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2491
Mailing Address - Country:US
Mailing Address - Phone:508-880-0077
Mailing Address - Fax:508-880-5247
Practice Address - Street 1:72 WASHINGTON ST
Practice Address - Street 2:SUITE 1700
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2491
Practice Address - Country:US
Practice Address - Phone:508-880-0077
Practice Address - Fax:508-880-5247
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA238515207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease