Azeem Qureshi, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

35-076374 Issued in OH

Practice address

4425 Wyandotte Woods Blvd
Dublin, OH 43016-8661

Phone

(614) 257-5339

Fax

(614) 257-5418

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/northcommunity/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medcentral Professional Foundation, LLC

  • Facial Plastic Surgery Physician
  • Mansfield, OH
  • NPI 1841476942
  NPD (past)
• North Community Counseling Centers Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1003085648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1023017720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 WYANDOTTE WOODS BLVD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168661",
            "telephone_number": "614-257-5339",
            "fax_number": "614-257-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 WYANDOTTE WOODS BLVD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168661",
            "telephone_number": "614-257-5339",
            "fax_number": "614-257-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "AZEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "35-076374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000324037",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2284700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Leonard Que, M.D.
• Queen Home Health Agency LLC
• Amanda Quellhorst, PHARMD
• Valene Borrero Quinones
• Joy Quintanilla
• Ra Integrated Healthcare Services LLC
• Laurel Elizabeth Raab
• Irene Joanne Rabatin
• Stephanie Rabbitt
• Allisha Rader

• Addiction Medicine (Psychiatry & Neurology) Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.