1871590836 NPI number — JEHANZEB QURESHI MD

Table of content: JEHANZEB QURESHI MD (NPI 1871590836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871590836 NPI number — JEHANZEB QURESHI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
QURESHI
Provider First Name:
JEHANZEB
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871590836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12104 BUCHANAN TRL E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAYNESBORO
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17268-9429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-749-0150
Provider Business Mailing Address Fax Number:
717-749-0153

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12104 BUCHANAN TRL E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNESBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17268-9429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-749-0150
Provider Business Practice Location Address Fax Number:
717-749-0153
Provider Enumeration Date:
07/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X , with the licence number:  MD059027L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: MD059027L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 25-1716306 . This is a "GREATWEST HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 867633 . This is a "MEDICARE GROUP # (WH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1871590836 . This is a "HEALTH AMERICA (WH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 6214072 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007307260034 . This is a "MEDICAID GROUP # (WH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1871590836 . This is a "FIRST HEALTH (WH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 25-1716306 . This is a "SOUTH CENTRAL PREFERRED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5855596 . This is a "AETNA NON-HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00465711 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0505860 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 25-1716306 . This is a "INTERGROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 295607 . This is a "UNISON (WH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 549072 . This is a "CAREFIRST MD BCBS-WMG" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: MD059027L . This is a "LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001909654 0003 (WH) , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1586914 . This is a "GATEWAY-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 036942000 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30080197 . This is a "AMERIHEALTH MERCY-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50091802 . This is a "CAPITAL BLUECROSS (WH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 25-1716306 . This is a "DEVON (WH)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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