Provider Demographics
NPI:1144510074
Name:QURESHI, IRFAN RASHID (MD)
Entity type:Individual
Prefix:
First Name:IRFAN
Middle Name:RASHID
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 1:2700 CITIZENS PLAZA
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901
Mailing Address - Country:US
Mailing Address - Phone:361-574-1775
Mailing Address - Fax:361-574-1768
Practice Address - Street 1:2700 CITIZENS PLAZA
Practice Address - Street 2:SUITE 102
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901
Practice Address - Country:US
Practice Address - Phone:361-574-1775
Practice Address - Fax:361-574-1768
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 60198526207R00000X
TXP3567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine