Provider Demographics
NPI:1043730815
Name:QURESHI, ADEEL ZAFAR (MD)
Entity type:Individual
Prefix:
First Name:ADEEL
Middle Name:ZAFAR
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4780 SWEETWATER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3163
Mailing Address - Country:US
Mailing Address - Phone:281-491-0094
Mailing Address - Fax:
Practice Address - Street 1:4780 SWEETWATER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3163
Practice Address - Country:US
Practice Address - Phone:281-491-0094
Practice Address - Fax:832-532-4072
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4254207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program