Provider Demographics
NPI:1881995702
Name:NAZER H. QURESHI, MD P.A.
Entity type:Organization
Organization Name:NAZER H. QURESHI, MD P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-945-0246
Mailing Address - Street 1:3343 SPRINGHILL DR
Mailing Address - Street 2:SUITE 2050
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2929
Mailing Address - Country:US
Mailing Address - Phone:501-945-0246
Mailing Address - Fax:501-945-0216
Practice Address - Street 1:3343 SPRINGHILL DR
Practice Address - Street 2:SUITE 2050
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2929
Practice Address - Country:US
Practice Address - Phone:501-945-0246
Practice Address - Fax:501-945-0216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR185552002Medicaid
AR185552002Medicaid
ARDR0547Medicare PIN
AR5G714Medicare PIN