Provider Demographics
NPI:1023101607
Name:ZULKHARNAIN MEDICAL SERVICES, PC
Entity type:Organization
Organization Name:ZULKHARNAIN MEDICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DR.
Authorized Official - Middle Name:
Authorized Official - Last Name:ZULKHARNAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-649-0887
Mailing Address - Street 1:136 SOBIESKI ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KENMORE MERCY HOSPITAL
Practice Address - Street 2:2885 KENMORE AVE
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217
Practice Address - Country:US
Practice Address - Phone:716-447-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206334207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDA5688Medicare PIN
NYAA0954Medicare PIN