| Aslam Hyder Qureshi, | |
| 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980-2005 | |
| (941) 235-4900 | |
| (941) 235-4901 | 
| Full Name | Aslam Hyder Qureshi | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Nephrology | 
| Location | 22655 Bayshore Rd Ste 110, Port Charlotte, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174904734 | NPI | - | NPPES | 
| 107170800 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0210X | Pediatrics - Pediatric Nephrology | A152878 (California) | Secondary | 
| 2080P0210X | Pediatrics - Pediatric Nephrology | ME146261 (Florida) | Primary | 
| Entity Name | Lee Memorial Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 | 
| Entity Name | Lee Health System Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Aslam Hyder Qureshi, Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-9890 | Aslam Hyder Qureshi, 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980-2005 Ph: (941) 235-4900 | 
| Dr. Mary C Sokoloski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
| Sandra Hegarty, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy, #500, Port Charlotte, FL 33980 Phone: 239-344-2325 Fax: 941-764-6176 | |
| Dr. Viraine S Weerasooriya, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 22655 Bayshore Rd Ste 110, Port Charlotte, FL 33980 Phone: 941-235-4900 Fax: 941-235-4901 | |
| Mr. Luis Ramon Rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2484 Caring Way, Suite D, Port Charlotte, FL 33952 Phone: 941-625-1999 Fax: 941-625-4600 | |
| Dr. Ebenezer Kuma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3406 Tamiami Trl Unit 2, Port Charlotte, FL 33952 Phone: 941-625-4919 Fax: 941-625-5516 | |
| Dr. Shahzaib Mirza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4300 Kings Hwy Ste 500, Port Charlotte, FL 33980 Phone: 393-442-3252 Fax: 941-764-6176 |