NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Quresh Z Bandukwala, M.D.

Psychiatry Physician in Rome, GA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124170097

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Registry record

Entity type Individual (Type 1)
Name Dr. Quresh Z Bandukwala
Credential M.D.
Sex Male
Practice address Rome, GA, 30165
Fax (706) 235-5728
Enumeration date Jan 18, 2007
Last updated in NPPES Sep 11, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 027959 (GA) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License A39105 (CA) Primary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License 027959 (GA) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
00340458A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1124170097 active?
Yes, as of the latest NPPES snapshot, NPI 1124170097 is active (record last updated 2025-09-11).
How do I verify Quresh Bandukwala's NPI record?
Cross-check NPI 1124170097 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.