Provider Demographics
NPI:1841207693
Name:ASADULLAH, SAIRA MIR (MD)
Entity Type:Individual
Prefix:DR
First Name:SAIRA
Middle Name:MIR
Last Name:ASADULLAH
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:2650 N TENAYA WAY STE 360
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1102
Practice Address - Country:US
Practice Address - Phone:702-240-0088
Practice Address - Fax:702-240-3049
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036101905207R00000X
MO2005014820207R00000X
NV18660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV18660OtherSTATE LICENSE
MO207510207Medicaid
NV1841207693Medicaid
MO936305639Medicare PIN