Provider Demographics
NPI:1053676742
Name:QAYUMI, ZAINAB S (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAINAB
Middle Name:S
Last Name:QAYUMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZAINAB
Other - Middle Name:
Other - Last Name:BURHANPURWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:509 S VAN BUREN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5082
Mailing Address - Country:US
Mailing Address - Phone:336-627-5437
Mailing Address - Fax:336-627-1681
Practice Address - Street 1:509 S VAN BUREN RD
Practice Address - Street 2:SUITE B
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5082
Practice Address - Country:US
Practice Address - Phone:336-627-5437
Practice Address - Fax:336-627-1681
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-01884208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics