Provider Demographics
NPI:1861619975
Name:QURESHI, WASIF A (MD)
Entity type:Individual
Prefix:
First Name:WASIF
Middle Name:A
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1401 FOULK RD
Mailing Address - Street 2:SUITE 101A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-2763
Mailing Address - Country:US
Mailing Address - Phone:302-661-7676
Mailing Address - Fax:302-661-1050
Practice Address - Street 1:121 BECKS WOODS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3851
Practice Address - Country:US
Practice Address - Phone:302-834-7676
Practice Address - Fax:302-834-9202
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2014-12-02
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0008345207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV21334OtherMEDICAL LICENSE
0-567-770-3OtherECFMG