| Imtiaz Lewis Qureshi, MD | |
|
20660 Stevens Creek Blvd, Suite 333, Cupertino, CA 95014-2120 | |
| (650) 940-7173 | |
| (650) 988-7838 |
| Full Name | Imtiaz Lewis Qureshi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 20660 Stevens Creek Blvd, Cupertino, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215901061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A78245 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| El Camino Hospital | Mountain view, CA | Hospital |
| San Ramon Regional Medical Center | San ramon, CA | Hospital |
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silicon Valley Diagnostic Imaging Inc | 5496838518 | 70 |
| Silicon Valley Medical Development Llc | 6103115183 | 163 |
| Entity Name | Silicon Valley Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629265806 PECOS PAC ID: 5496838518 Enrollment ID: O20080213000359 |
| Entity Name | Physician Services At El Camino Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669575585 PECOS PAC ID: 5698825016 Enrollment ID: O20090605000358 |
| Entity Name | Silicon Valley Medical Development Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617 |
| Mailing Address | Practice Location Address |
|---|---|
| Imtiaz Lewis Qureshi, MD 15732 Los Gatos Blvd, Suite 1000, Los Gatos, CA 95032-2504 Ph: (408) 356-0683 | Imtiaz Lewis Qureshi, MD 20660 Stevens Creek Blvd, Suite 333, Cupertino, CA 95014-2120 Ph: (650) 940-7173 |
Mamta R. Gupta, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1535 Jamestown Dr, Cupertino, CA 95014 Phone: 952-595-1100 Fax: 612-294-4903 | |
Ramesh K Gopi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 20660 Stevens Creek Blvd, Suite 333, Cupertino, CA 95014 Phone: 650-940-7218 Fax: 650-988-7838 |