Healthcare Provider Details

I. General information

NPI: 1487430526
Provider Name (Legal Business Name): QUASAR PEDIATRICS NEVADA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 S MARYLAND PKWY STE 160
LAS VEGAS NV
89109-5016
US

IV. Provider business mailing address

4850 TAMIAMI TRL N UNIT 301
NAPLES FL
34103-3034
US

V. Phone/Fax

Practice location:
  • Phone: 239-935-5721
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SEAN ALEXANDER FEINBERG
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 239-443-5924