| Doctor Name: | DR. GHULAM DASTIGIR QURESHI |
| NPI Number: | 1245201045 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 541436644 |
| Business Practice Address: | 7660 E Parham Rd 102 Richmond, VA - 232944378 |
| Business Phone Number: | 8043463182 |
| Business Fax Number: | 8042731862 |
| Mailing Address: | 7202 Glen Forest Dr, C/o Virginia Cancer Institute Suite 200 RICHMOND |
| State: | VA |
| Postal Code: | 232263781 |
| Phone Number: | 8046730134 |
| Fax Number: | 8046731796 |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 541436644 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |