| Tanvir I Qureshi Md Pc | |
|
5290 W Brookshire St Monroe MI 48161-3798 | |
| (734) 242-5544 | |
| (734) 457-6610 |
| Full Name | Tanvir I Qureshi Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5290 W Brookshire St, Monroe, Michigan |
| Authorized Official Name and Position | Tanvir I Qureshi (PRESIDENT) |
| Authorized Official Contact | 7342425544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanvir I Qureshi Md Pc 5290 W Brookshire St Monroe MI 48161-3798 Ph: (734) 242-5544 | Tanvir I Qureshi Md Pc 5290 W Brookshire St Monroe MI 48161-3798 Ph: (734) 242-5544 |
| NPI Number | 1730464041 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 4486821485 |
|---|---|
| Medicare Enrollment ID | O20120113000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730464041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042971 (Michigan) | Primary |
| Provider Name | Tanvir Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447253760 PECOS PAC ID: 5395912398 Enrollment ID: I20120113000751 |
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