Pak Rural Health

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME23207 Issued in FL

Legal business name

PAK RURAL HEALTH

Doing business as

Pak Rural Health

Practice address

812 S. Weeks St
Bonifay, FL 32425

Phone

(850) 547-4771

Fax

(850) 547-3136

NPI assigned

May 23, 2007

Last updated

Sep 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ikram U Qureshi, M.D.NPI 1295765550

Title

Owner

Phone

(850) 547-4771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pak Rural Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ikram Ulhaq Qureshi, M.D.

  • Internal Medicine Physician
  • Bonifay, FL
  • NPI 1295765550
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1477763860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S. WEEKS ST",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "32425",
            "telephone_number": "850-547-4771",
            "fax_number": "850-547-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S. WEEKS ST",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "32425",
            "telephone_number": "850-547-4771",
            "fax_number": "850-547-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAK RURAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "IKRAM",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-547-4771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME23207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039448300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pak Rural Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Florida Healthcare, Inc. (Bailey Family Practice - Northwest Florida Community Hospital)
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• Osama Shuaib Ismail
• Osama Shuaib Ismail MD LLC
• John Stanley Owens, D.C.
• Pancare of Florida, Inc
• Panhandle Family Medicine, LLC
• Brian A Parker, D.M.D.
• Stanley M Parker, D.M.D.
• Jonathan Odell Paul, ARNP-BC

• Internal Medicine Physician in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.