Provider Demographics
NPI:1992971519
Name:QURESHI, JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
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 1:8311 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4830
Mailing Address - Country:US
Mailing Address - Phone:301-604-2010
Mailing Address - Fax:301-490-3768
Practice Address - Street 1:8311 CHERRY LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4830
Practice Address - Country:US
Practice Address - Phone:301-604-2010
Practice Address - Fax:301-490-3768
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-03
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2742207W00000X
MDD69502207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD025033300OtherMEDICAL ASSISTANCE
MDS616-0001OtherCAREFIRST
GAP01082908OtherRAILROAD MEDICARE
DC161846ZEKOtherMEDICARE
DCS616-0001OtherCAREFIRST