Provider Demographics
NPI:1871590836
Name:QURESHI, JEHANZEB (MD)
Entity type:Individual
Prefix:
First Name:JEHANZEB
Middle Name:
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 1:12104 BUCHANAN TRL E
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-9429
Mailing Address - Country:US
Mailing Address - Phone:717-749-0150
Mailing Address - Fax:717-749-0153
Practice Address - Street 1:12104 BUCHANAN TRL E
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-9429
Practice Address - Country:US
Practice Address - Phone:717-749-0150
Practice Address - Fax:717-749-0153
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059027L208M00000X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherGREATWEST HEALTHCARE
PA867633OtherMEDICARE GROUP # (WH)
PA1871590836OtherHEALTH AMERICA (WH)
PA6214072OtherAETNA HMO
PA1007307260034OtherMEDICAID GROUP # (WH)
PA1871590836OtherFIRST HEALTH (WH)
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA5855596OtherAETNA NON-HMO
PAP00465711OtherRAILROAD MEDICARE
PA0505860OtherHIGHMARK BLUE SHIELD
PA25-1716306OtherINTERGROUP
PA295607OtherUNISON (WH)
MD549072OtherCAREFIRST MD BCBS-WMG
PAMD059027LOtherLICENSE
PA001909654 0003 (WH)Medicaid
PA1586914OtherGATEWAY-WMG
MD036942000Medicaid
PA30080197OtherAMERIHEALTH MERCY-WMG
PA50091802OtherCAPITAL BLUECROSS (WH)
PA25-1716306OtherDEVON (WH)
PA415291OtherUPMC-WMG
PAP004799OtherGATEWAY
PAP004799OtherGATEWAY
PA295607OtherUNISON (WH)
PABQ4998499OtherDEA