Provider Demographics
NPI:1255907747
Name:ZULKIFLI, KHAIRUNISAHAKIMAH (MD)
Entity type:Individual
Prefix:
First Name:KHAIRUNISAHAKIMAH
Middle Name:
Last Name:ZULKIFLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9912 ROSSELL LOOP
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-1908
Mailing Address - Country:US
Mailing Address - Phone:734-730-8644
Mailing Address - Fax:
Practice Address - Street 1:CARR. NM 2, KM 11.9
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-474-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program