Provider Demographics
NPI:1780412130
Name:AFZAL, MUHAMMAD SOHAIB (MD, MBBS)
Entity type:Individual
Prefix:
First Name:MUHAMMAD SOHAIB
Middle Name:
Last Name:AFZAL
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2 ELM CREEK DR APT 104
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5287
Mailing Address - Country:US
Mailing Address - Phone:630-768-6564
Mailing Address - Fax:
Practice Address - Street 1:LOYOLA UNIVERSITY MEDICAL CENTRE
Practice Address - Street 2:2160 S. FIRST AVE
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:888-584-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.084779207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology