Provider Demographics
NPI:1255372280
Name:KURAISHI, NILOFAR (MD)
Entity type:Individual
Prefix:
First Name:NILOFAR
Middle Name:
Last Name:KURAISHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 S MARYLAND PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1548
Mailing Address - Country:US
Mailing Address - Phone:702-733-0899
Mailing Address - Fax:702-733-6380
Practice Address - Street 1:2870 S MARYLAND PKWY STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1548
Practice Address - Country:US
Practice Address - Phone:702-733-0899
Practice Address - Fax:702-733-6380
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6576207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019298Medicaid
NV002019298Medicaid
NV36176NVMedicare ID - Type UnspecifiedMEDICARE