Provider Demographics
NPI:1558357285
Name:AHMAD, TAUQIR ZULFIQAR (MD)
Entity Type:Individual
Prefix:
First Name:TAUQIR
Middle Name:ZULFIQAR
Last Name:AHMAD
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:PO BOX 23187
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85063-3187
Mailing Address - Country:US
Mailing Address - Phone:623-845-5959
Mailing Address - Fax:623-845-6013
Practice Address - Street 1:9150 W INDIAN SCHOOL RD UNIT 8
Practice Address - Street 2:SUITE 131
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-2384
Practice Address - Country:US
Practice Address - Phone:623-845-5959
Practice Address - Fax:623-845-6013
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29723207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ701559Medicaid
H51609Medicare UPIN
AZ67740Medicare ID - Type Unspecified