Search › Georgia › Psychiatry Physician
Quresh Bandukwala, M.D
NPI 1124170097 · on the registry since 2007 · sole proprietor
Practice
- Address
- 314 Shorter Ave Nw
Suite100
Rome, GA 30165 - Phone
- (706) 235-5722
- Fax
- (706) 235-5728
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Also registered as
- Psychiatry Physician
Child & Adolescent Psychiatry Physician - Licence states on file
- GA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia