Provider Demographics
NPI:1942284294
Name:RASHID, BASHIR QADIR (MD)
Entity Type:Individual
Prefix:
First Name:BASHIR
Middle Name:QADIR
Last Name:RASHID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9101 W SAHARA AVE
Mailing Address - Street 2:SUITE 105-G21
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5772
Mailing Address - Country:US
Mailing Address - Phone:702-380-2048
Mailing Address - Fax:702-478-7263
Practice Address - Street 1:2470 E FLAMINGO RD
Practice Address - Street 2:SUITE # D
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5200
Practice Address - Country:US
Practice Address - Phone:702-737-1427
Practice Address - Fax:702-478-7263
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA88291207Q00000X
NV12171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1942284294Medicaid
NVI42407Medicare UPIN