Provider Demographics
NPI:1316046055
Name:ZULQARNI, NAZ (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZ
Middle Name:
Last Name:ZULQARNI
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 1:4511 HARLEM RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3822
Mailing Address - Country:US
Mailing Address - Phone:716-839-6720
Mailing Address - Fax:716-839-6740
Practice Address - Street 1:219 BRYANT ST
Practice Address - Street 2:GENERAL PEDIATRIC DIVISION
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7288
Practice Address - Fax:716-888-3966
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234656208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1019094140001OtherPA MEDICAID
NY051201000083OtherFIDELIS
NY080407000141OtherFIDELIS
NY000528292001OtherBC/BS
NY00027262501OtherUNIVERA
NY02672017Medicaid
NY1213011OtherIHA
NY000528292001OtherBC/BS
NY02672017Medicaid