Provider Demographics
NPI:1619458460
Name:ZULFI, ZULFIQAR AHMED (DPT)
Entity Type:Individual
Prefix:
First Name:ZULFIQAR
Middle Name:AHMED
Last Name:ZULFI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4981 TRAIL RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4563
Mailing Address - Country:US
Mailing Address - Phone:313-802-1142
Mailing Address - Fax:
Practice Address - Street 1:4981 TRAIL RIDGE CT
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4563
Practice Address - Country:US
Practice Address - Phone:313-802-1142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5501006494225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist