Provider Demographics
NPI:1700813946
Name:ZULQARNAIN, MUHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:
Last Name:ZULQARNAIN
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 1:4950 N GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2707
Mailing Address - Country:US
Mailing Address - Phone:972-483-5714
Mailing Address - Fax:972-674-3810
Practice Address - Street 1:17950 PRESTON RD
Practice Address - Street 2:STE 120
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5793
Practice Address - Country:US
Practice Address - Phone:972-483-5714
Practice Address - Fax:972-674-3810
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2881207LP2900X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00917437OtherRAILROAD MEDICARE PTAN- IND
TX184682602Medicaid
TX184682602Medicaid
TXTXB116351Medicare PIN
TXTXB116352Medicare PIN