Provider Demographics
NPI:1033798715
Name:ZULFIQAR, ANNUM (MD)
Entity Type:Individual
Prefix:
First Name:ANNUM
Middle Name:
Last Name:ZULFIQAR
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 1:1111 W LEDBETTER DR STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-4966
Mailing Address - Country:US
Mailing Address - Phone:214-295-7344
Mailing Address - Fax:214-295-7853
Practice Address - Street 1:1111 W LEDBETTER DR STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-4966
Practice Address - Country:US
Practice Address - Phone:214-295-7344
Practice Address - Fax:214-295-7853
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNU6839207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine