Provider Demographics
NPI:1710163993
Name:ZULFIQAR AHMAD
Entity Type:Organization
Organization Name:ZULFIQAR AHMAD
Other - Org Name:PHOENIX INSTITUTE OF CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZULFIQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-845-5959
Mailing Address - Street 1:9150 W INDIAN SCHOOL RD
Mailing Address - Street 2:UNIT 8 SUITE 131
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-2384
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
Practice Address - Street 2:UNIT 8 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ512758Medicaid
AZ5483521OtherAETNA
AZ2Z6863OtherHEALTHNET
AZAZ0727560OtherBLUE CROSS BLUE SHIELD
AZAZ0727560OtherBLUE CROSS BLUE SHIELD
AZ2Z6863OtherHEALTHNET