Provider Demographics
NPI:1700694254
Name:RHEUMATOLOGY EXPRESS LLC
Entity type:Organization
Organization Name:RHEUMATOLOGY EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAZIBEH
Authorized Official - Middle Name:ALEEM
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-650-4121
Mailing Address - Street 1:724 MAIDEN CHOICE LN STE 201
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-0003
Mailing Address - Country:US
Mailing Address - Phone:410-650-4121
Mailing Address - Fax:877-763-4971
Practice Address - Street 1:724 MAIDEN CHOICE LN STE 201
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-0003
Practice Address - Country:US
Practice Address - Phone:410-650-4121
Practice Address - Fax:877-763-4971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty