Provider Demographics
NPI:1790030724
Name:ARIF, ZULFIQAR (MD)
Entity Type:Individual
Prefix:MR
First Name:ZULFIQAR
Middle Name:
Last Name:ARIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 OLD YORK RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3800
Mailing Address - Country:US
Mailing Address - Phone:215-481-4811
Mailing Address - Fax:215-576-1787
Practice Address - Street 1:1235 OLD YORK RD STE 214
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3841
Practice Address - Country:US
Practice Address - Phone:215-481-4811
Practice Address - Fax:215-576-1787
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD455102207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA422546Medicare PIN