Provider Demographics
NPI:1487801825
Name:QURESHI, ABDUL HALEEM (MD)
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:HALEEM
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2324 W. PIERCE ST.
Mailing Address - Street 2:PECOS VALLEY OF NM, LLC
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220
Mailing Address - Country:US
Mailing Address - Phone:575-628-5051
Mailing Address - Fax:575-628-0493
Practice Address - Street 1:2410 W. PIERCE ST.
Practice Address - Street 2:PECOS VALLEY OF NM, LLC DBA SURGERY GROUP OF CARLSBAD
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220
Practice Address - Country:US
Practice Address - Phone:575-885-0766
Practice Address - Fax:575-887-3791
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2012-11-05
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Provider Licenses
StateLicense IDTaxonomies
NMMD2010-0015208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM23978368Medicaid
NMNM303316Medicare PIN