Provider Demographics
NPI:1366479511
Name:IQBAL, MUHAMMAD ZAFAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ZAFAR
Last Name:IQBAL
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 1:295 ESSJAY RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8216
Mailing Address - Country:US
Mailing Address - Phone:716-630-1175
Mailing Address - Fax:716-630-1271
Practice Address - Street 1:295 ESSJAY RD
Practice Address - Street 2:BUFFALO MEDICAL GROUP
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8216
Practice Address - Country:US
Practice Address - Phone:716-630-1175
Practice Address - Fax:716-630-1271
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041291E2085R0001X
NY1742702085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01210131Medicaid
10514380OtherCAQH
NY01210131Medicaid