Provider Demographics
NPI:1497958201
Name:ZUBERI, MEIRAJ F (MD)
Entity Type:Individual
Prefix:DR
First Name:MEIRAJ
Middle Name:F
Last Name:ZUBERI
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 1:1367 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-1431
Mailing Address - Country:US
Mailing Address - Phone:815-680-6806
Mailing Address - Fax:815-729-3399
Practice Address - Street 1:1367 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-1444
Practice Address - Country:US
Practice Address - Phone:815-941-2007
Practice Address - Fax:815-941-2132
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-112234207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036112234-2Medicaid
IL808070OtherMEDICARE
IL216432002Medicare PIN