Provider Demographics
NPI:1134329311
Name:AHMAD, ZULFIQAR (PT)
Entity Type:Individual
Prefix:MR
First Name:ZULFIQAR
Middle Name:
Last Name:AHMAD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3947 NEARING RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4142
Mailing Address - Country:US
Mailing Address - Phone:248-299-8397
Mailing Address - Fax:248-299-8397
Practice Address - Street 1:3947 NEARING RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-4142
Practice Address - Country:US
Practice Address - Phone:248-299-8397
Practice Address - Fax:248-299-8397
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004999225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist