Provider Demographics
NPI:1073582540
Name:MUGHAL, ZAHID I (MD)
Entity Type:Individual
Prefix:
First Name:ZAHID
Middle Name:I
Last Name:MUGHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2621
Mailing Address - Country:US
Mailing Address - Phone:804-458-7781
Mailing Address - Fax:804-458-7814
Practice Address - Street 1:602 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2621
Practice Address - Country:US
Practice Address - Phone:804-458-7781
Practice Address - Fax:804-458-7814
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236546207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010073901Medicaid
VACI3965OtherMEDICARE RR GROUP
C05898OtherMEDICARE GROUP NUMBER
VAP00149609OtherMEDICARE RAILROAD
H20501Medicare UPIN
VA010073901Medicaid