Provider Demographics
NPI:1861678856
Name:TALUKDER, ZAHIRUL (MD)
Entity Type:Individual
Prefix:
First Name:ZAHIRUL
Middle Name:
Last Name:TALUKDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2108 4TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-4518
Mailing Address - Country:US
Mailing Address - Phone:517-788-9700
Mailing Address - Fax:517-784-8975
Practice Address - Street 1:2108 4TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-4518
Practice Address - Country:US
Practice Address - Phone:517-788-9700
Practice Address - Fax:517-784-8975
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5315026665208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation