Provider Demographics
NPI:1215036348
Name:QURESHI, MUHAMMAD Z (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:Z
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 1:2510 BERT KOUNS LOOP
Mailing Address - Street 2:SUITE 4003
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71118-3119
Mailing Address - Country:US
Mailing Address - Phone:318-212-5665
Mailing Address - Fax:318-212-5698
Practice Address - Street 1:2510 BERT KOUNS LOOP
Practice Address - Street 2:SUITE 4003
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71118-3119
Practice Address - Country:US
Practice Address - Phone:318-212-5665
Practice Address - Fax:318-212-5698
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1999932080P0208X, 2080P0203X
LAMD.2040682080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR184380001Medicaid
NY02315740Medicaid
TX215821401Medicaid
LA2120450Medicaid
NYDD3008Medicare PIN
LA4P398CQ62Medicare PIN
AR184380001Medicaid
G72803Medicare UPIN
LA4P398Medicare PIN