Individual provider Active NPI

Farzana Qureshi, M.D.

  • Infectious Disease Physician
  • Rancho Mirage, CA
National Provider Identifier
1790781334
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A74642 Issued in CA
Practice address
35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772
Phone
(760) 202-0686
Fax
(760) 770-4563
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A74642 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772

Mailing address

35400 Bob Hope Dr
Suite 210
Rancho Mirage, CA 92270-1772
Phone (760) 202-0686

Other identifiers 1

IdentifierTypeStateIssuer
00A746420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000500 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 3577520485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syed F Azam Medical Associates IncGroup PAC ID 8921907080, 4 clinicians

Practice addresses (Care Compare)

35400 Bob Hope Dr
Suite 209
Rancho Mirage, CA 92270-1774
Phone (760) 202-0686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74642CAMDPharmacist
A74642CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syed F Azam Medical Associates Inc CurrentSince Oct 1, 2003 Accepting new patients

Locations

35400 Bob Hope Dr
Ste 209
Rancho Mirage, CA 92270
Phone (760) 202-0686

35400 Bob Hope Dr
Ste 210
Rancho Mirage, CA 92270
Phone (760) 202-0686

Interoperability endpoints

  • Direct secure messaging: farzana.qureshi.1@11678.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1790781334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 210",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 210",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "FARZANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A74642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A746420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.