Tanvir I Qureshi MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

042971 Issued in MI

Legal business name

TANVIR I QURESHI MD PC

Practice address

5290 W Brookshire St
Monroe, MI 48161-3798

Phone

(734) 242-5544

Fax

(734) 457-6610

NPI assigned

Oct 18, 2011

Last updated

Jan 12, 2012By 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

Dr. Tanvir I Qureshi, M.D.P.C.NPI 1447253760

Title

President

Phone

(734) 242-5544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14777/brand/1/csg/1/fhir/r4

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.

• Tanvir I Qureshi, MD PC

  • Specialist
  • Monroe, MI
  • NPI 1447253760
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1730464041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 W BROOKSHIRE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613798",
            "telephone_number": "734-242-5544",
            "fax_number": "734-457-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 W BROOKSHIRE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613798",
            "telephone_number": "734-242-5544",
            "fax_number": "734-457-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANVIR I QURESHI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "TANVIR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-242-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "042971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Monroe, MI
• Providers in Monroe, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.