Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Azam Ahmed Qureshi, MD

Individual provider Dermatology Physician · NPI 1245899038

Dr. Azam Ahmed Qureshi, MD is a Dermatology in Manitowoc, Wisconsin. Graduated from University of Maryland School of Medicine in 2019, 7 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Trained at
University of Maryland School of Medicine
Licensed in
WI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1515 Randolph Ct
Manitowoc, WI 54220-8345
Phone: (920) 683-5278
Fax: (920) 482-0359
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7040 N Port Washington Rd Ste 404, Glendale, WI 53217-3885 — (414) 355-2405
  • 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328 — (414) 771-1122

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 100818-875 (WI)

Record details

NPI number1245899038
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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