Qureshi, Mohammed Mehboob

Qureshi, Mohammed Mehboob is an individual health care provider with primary practice located at 1805 Vernon Rd , Lagrange GA 30240-3871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Qureshi, Mohammed Mehboob can be contacted via phone (706) 884-2691.

Contact Information

Primary practice address
1805 Vernon Rd Lagrange GA 30240-3871
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X R8652 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 92330 Georgia

Profile Details

NPI number 1770997942
LBN Legal business name Qureshi, Mohammed Mehboob
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2014
Last updated Aug 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770997942 NPPES
Texas MEDICAID 424350301
Texas MEDICAID 424350302

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