GHULAM QUTAB MD
NPI 1043896731
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Ghulam Qutab's NPI number?

The NPI number for Ghulam Qutab is 1043896731. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Ghulam Qutab's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ghulam Qutab was last updated on April 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2021PECOS Enrolled

1650 GRAND CONCOURSE, BRONX, NY 10457(718) 901-8203 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 27, 2026, Mar 22, 2021 (2 updates tracked since 2021).

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About Ghulam Qutab Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GHULAM QUTAB MD (NPI 1043896731) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043896731

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGHULAM QUTABCredential: MD

Location Address1650 GRAND CONCOURSEBronx, NY 10457-7697

Mailing Address1405 Amsterdam Ave Apt 3aNew York, NY 10027-7465 · (929) 385-2375

Phone(718) 901-8203

Sole ProprietorNo

Enumeration DateMarch 22, 2021

Last NPPES UpdateApril 27, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1043896731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1650 GRAND CONCOURSE, Bronx, NY 10457

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ghulam Qutab Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.