Quresh Z Bandukwala M.D.

NPI 1124170097 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1124170097
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
314 SHORTER AVE NW
SUITE100
ROME GA, 30165-4268, US
Phone (706) 235-5722
Fax (706) 235-5728
Business Location
314 SHORTER AVE NW
SUITE100
ROME GA, 30165-4268, US
Phone (706) 235-5722
Fax (706) 235-5728
Toxanomy
Taxonomy Code 2084P0800X
License State Georgia
License Number 027959
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According to our database, Dr. Quresh Z Bandukwala M.D. NPI is 1124170097, taxonomy code is 2084P0800X and license number is 027959, license state is located at Georgia. Quresh Z Bandukwala M.D. physically located at 314 Shorter Ave Nw, Rome GA, 30165-4268. NPI Number Quresh Z Bandukwala M.D. has the Individual type.

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1124170097 NPI number is provided on an as is basis without warranty of any kind. 1124170097 is maintained by the National Plan & Provider Enumeration System. The contents of Quresh Z Bandukwala M.D. are for informational purposes only.