Provider Demographics
NPI:1386967636
Name:QURAISHI, FARID (DPM)
Entity type:Individual
Prefix:DR
First Name:FARID
Middle Name:
Last Name:QURAISHI
Suffix:
Gender:M
Credentials:DPM
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 79586
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0586
Mailing Address - Country:US
Mailing Address - Phone:301-567-7200
Mailing Address - Fax:301-567-2728
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:SUITE 430
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-567-7200
Practice Address - Fax:301-567-2728
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01479213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist