Provider Demographics
NPI:1982758769
Name:MUNAWAR A QURASHI MD LLC
Entity Type:Organization
Organization Name:MUNAWAR A QURASHI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNAWAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:QURASHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-289-9042
Mailing Address - Street 1:2041 TROON DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-0669
Mailing Address - Country:US
Mailing Address - Phone:702-289-9042
Mailing Address - Fax:702-735-0401
Practice Address - Street 1:2041 TROON DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-0669
Practice Address - Country:US
Practice Address - Phone:702-289-9042
Practice Address - Fax:702-735-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10961208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503833Medicaid
NV100503833Medicaid