Healthcare Provider Details

I. General information

NPI: 1548444946
Provider Name (Legal Business Name): MUNAWAR A QURASHI MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8227 COYADO ST
LAS VEGAS NV
89123-4320
US

IV. Provider business mailing address

8227 COYADO ST
LAS VEGAS NV
89123-4320
US

V. Phone/Fax

Practice location:
  • Phone: 702-289-9042
  • Fax: 702-966-8002
Mailing address:
  • Phone: 702-289-9042
  • Fax: 702-966-8002

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: OWNER
Credential: MD
Phone: 702-289-9042