Provider Demographics
NPI:1952533887
Name:QURESHI AL-OWIR PLLC
Entity type:Organization
Organization Name:QURESHI AL-OWIR PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BASSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-OWIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-483-6200
Mailing Address - Street 1:PO BOX 92062
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-2062
Mailing Address - Country:US
Mailing Address - Phone:702-483-6200
Mailing Address - Fax:702-483-6202
Practice Address - Street 1:715 MALL RING CIR STE 202
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6667
Practice Address - Country:US
Practice Address - Phone:702-483-6200
Practice Address - Fax:702-483-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3264207RP1001X
NV10605207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV10605OtherNV STATE BOARD MED LICENSE
NV10605OtherNV STATE BOARD MED LICENSE