Healthcare Provider Details

I. General information

NPI: 1982758769
Provider Name (Legal Business Name): MUNAWAR A QURASHI MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 09/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 TROON DR
HENDERSON NV
89074-0669
US

IV. Provider business mailing address

2041 TROON DR
HENDERSON NV
89074-0669
US

V. Phone/Fax

Practice location:
  • Phone: 702-289-9042
  • Fax: 702-735-0401
Mailing address:
  • Phone: 702-289-9042
  • Fax: 702-735-0401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number10961
License Number StateNV

VIII. Authorized Official

Name: DR. MUNAWAR A QURASHI
Title or Position: PRESIDENT
Credential: MD
Phone: 702-289-9042