EBENEZER KHURAM QURESHI PA-C NPI 1013947381

NPI Information

NPI: 1013947381
Provider Name: EBENEZER KHURAM QURESHI, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ
ZIP 85395
Phone: (623) 215-0040
Get Directions

Ebenezer Khuram Qureshi, PA-C is a medical physician assistant in Goodyear, AZ with 19 years of experience. Ebenezer Khuram Qureshi, PA-C NPI is 1013947381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1507 N LITCHFIELD RD STE 200
GOODYEAR, AZ
ZIP 85395-201
Phone: (623) 215-0040
Fax: (623) 935-9602

The NPI 1013947381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 7/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		58215	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	3253	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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