Provider Demographics
NPI:1447219795
Name:AFZAL, MUNAZZA (MD)
Entity Type:Individual
Prefix:DR
First Name:MUNAZZA
Middle Name:
Last Name:AFZAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MUNAZZA
Other - Middle Name:
Other - Last Name:AFZAL-QADIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS,MD
Mailing Address - Street 1:514 GRAMATAN AVE
Mailing Address - Street 2:SUITE P3
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-3054
Mailing Address - Country:US
Mailing Address - Phone:914-699-7427
Mailing Address - Fax:914-699-7428
Practice Address - Street 1:514 GRAMATAN AVE
Practice Address - Street 2:SUITE P3
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-3054
Practice Address - Country:US
Practice Address - Phone:914-699-7427
Practice Address - Fax:914-699-7428
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218978207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02188136Medicaid
NY02188136Medicaid