Osama Ahmed Qutub

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DL10779 Issued in MA

Practice address

100 E Newton St
Boston, MA 02118-2308

Phone

(617) 638-5429

NPI assigned

Sep 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1508190034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W SQUANTUM ST APT 1215",
            "address_2": "APT #1215",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712136",
            "telephone_number": "202-459-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEWTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUTUB",
        "first_name": "OSAMA",
        "middle_name": "AHMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DL10779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1223P0700X",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadeq Quraishi, M.D.
• Razzan Quran
• Ghulam Mustafa Qurashi
• Tanya Qureshi
• Zuhair Qureshi, DO
• One Hyuk Ra, MD
• Manuel S Raagas, M.D.
• Rodney R Raanan, DDS
• Jade Marie Rabago
• Bahaa Rabah

• Prosthodontics in Boston, MA
• Providers in Boston, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.