1750372363 NPI number — QURESHI & ASSOC INC

Table of content: (NPI 1750372363)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750372363 NPI number — QURESHI & ASSOC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QURESHI & ASSOC INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1750372363
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5049 CROOKSHANK RD
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45238-3352
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-922-2519
Provider Business Mailing Address Fax Number:
513-922-2214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5049 CROOKSHANK RD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45238-3352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-922-2519
Provider Business Practice Location Address Fax Number:
513-922-2214
Provider Enumeration Date:
11/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MANETAVAT
Authorized Official First Name:
NARONG
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT OF QURESHI AND ASSOC INC
Authorized Official Telephone Number:
513-922-2519

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  35100319M , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2086S0105X , with the licence number: 35100319M , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00319 . This is a "CHOICE CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0523428 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0641638 . This is a "AETNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 14240826000 . This is a "BUREAU OF WORKERS COMP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000004984 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1720406 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 142408260001 . This is a "MEDICAL MUTUAL" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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