Provider Demographics
NPI:1134561871
Name:ZIAULLAH VIRK MD PA
Entity type:Organization
Organization Name:ZIAULLAH VIRK MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZIA ULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-705-7749
Mailing Address - Street 1:2709 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7549
Mailing Address - Country:US
Mailing Address - Phone:214-705-7749
Mailing Address - Fax:214-705-7729
Practice Address - Street 1:1850 LAKEPOINTE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-6442
Practice Address - Country:US
Practice Address - Phone:972-316-3344
Practice Address - Fax:214-705-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6756207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty