Provider Demographics
NPI:1417954280
Name:QURASHI, MUNAWAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:MUNAWAR
Middle Name:A
Last Name:QURASHI
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 1:2041 TROON DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-0669
Mailing Address - Country:US
Mailing Address - Phone:702-289-9042
Mailing Address - Fax:702-735-0401
Practice Address - Street 1:2041 TROON DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-0669
Practice Address - Country:US
Practice Address - Phone:702-289-9042
Practice Address - Fax:702-735-0401
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10961208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503833Medicaid
NVV102487Medicare PIN
NV100503833Medicaid