Active NPI
Ghulam Dastigir Qureshi, M.D.
- Hematology & Oncology Physician
- Richmond, VA
National Provider Identifier
1245201045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101021014
- Practice address
- 6605 W Broad St Ste a
Richmond, VA 23230-1714 - Phone
- (804) 287-3000
- Fax
- (804) 673-2731
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0101021014 | VA | Primary |
| Specialist | 174400000X | 541436644 | VA |
Addresses
Primary practice location
6605 W Broad St Ste a
Richmond, VA 23230-1714
Mailing address
7202 Glen Forest Dr
C/O Virginia Cancer Institute Suite 200
Richmond, VA 23226-3781
Phone (804) 673-0134
Other practice location 1
7660 E Parham Rd
102
Richmond, VA 23294-4378
Phone (804) 346-3182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6056873 | Medicaid | VA | |
| C01120 | Other | VA | GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101021014 | VA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1245201045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 GLEN FOREST DR",
"address_2": "C/O VIRGINIA CANCER INSTITUTE SUITE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263781",
"telephone_number": "804-673-0134",
"fax_number": "804-673-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 W BROAD ST STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301714",
"telephone_number": "804-287-3000",
"fax_number": "804-673-2731"
}
],
"practiceLocations": [
{
"address_1": "7660 E Parham Rd",
"address_2": "102",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232944378",
"country_code": "US",
"telephone_number": "804-346-3182",
"fax_number": "804-273-1862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QURESHI",
"first_name": "GHULAM",
"middle_name": "DASTIGIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101021014",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "541436644",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6056873",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C01120",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.