Provider Demographics
NPI:1740465798
Name:ABRO, ZULQARNAIN (MD)
Entity type:Individual
Prefix:DR
First Name:ZULQARNAIN
Middle Name:
Last Name:ABRO
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 1:1800 BUCKNER ST STE C120
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4453
Mailing Address - Country:US
Mailing Address - Phone:318-631-1584
Mailing Address - Fax:318-635-8322
Practice Address - Street 1:1800 BUCKNER ST
Practice Address - Street 2:SUITE C120
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4440
Practice Address - Country:US
Practice Address - Phone:318-227-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202285207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4M629F600OtherMEDICARE - PTAN
LA1050881Medicaid