Provider Demographics
NPI:1295825503
Name:ZAHEER, GHULAM RABANI (MD)
Entity Type:Individual
Prefix:DR
First Name:GHULAM
Middle Name:RABANI
Last Name:ZAHEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-2943
Mailing Address - Country:US
Mailing Address - Phone:760-256-0328
Mailing Address - Fax:760-256-5635
Practice Address - Street 1:600 E WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2943
Practice Address - Country:US
Practice Address - Phone:760-256-0328
Practice Address - Fax:760-256-5635
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26638207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA26638OtherSTATE LICENSE
CAC03858Medicare UPIN