Provider Demographics
NPI:1710114871
Name:WAZIR, ZUBAIR KHAN (PT)
Entity Type:Individual
Prefix:MR
First Name:ZUBAIR
Middle Name:KHAN
Last Name:WAZIR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21500 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 825
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5018
Mailing Address - Country:US
Mailing Address - Phone:248-483-7980
Mailing Address - Fax:248-483-7983
Practice Address - Street 1:21500 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 825
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5018
Practice Address - Country:US
Practice Address - Phone:248-483-7980
Practice Address - Fax:248-483-7983
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501008312225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist