Provider Demographics
NPI:1407081508
Name:QURESHI, SAFDAR ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:SAFDAR
Middle Name:ALI
Last Name:QURESHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 S DURANGO DR STE B107-379
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3653
Mailing Address - Country:US
Mailing Address - Phone:702-540-9428
Mailing Address - Fax:
Practice Address - Street 1:7345 S DURANGO DR STE B107-379
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3653
Practice Address - Country:US
Practice Address - Phone:702-540-9428
Practice Address - Fax:702-446-6343
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-055884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine