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

Dr. Quresh Z Bandukwala, MD

Individual provider Psychiatry Physician · NPI 1124170097

Dr. Quresh Z Bandukwala, MD is a Psychiatry Physician in Rome, Georgia. Practices as a sole proprietor. Licensed in California and Georgia.

Licensed in
CA, GA
In the registry since
2007
Specialties on file
3
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

314 Shorter Ave NW SUITE100
Rome, GA 30165-4268
Phone: (706) 235-5722
Fax: (706) 235-5728
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A39105 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 027959 (GA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 027959 (GA)

Record details

NPI number1124170097
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESSeptember 11, 2025

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