Provider Demographics
NPI:1982883252
Name:ZULFIQAR AHMED MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ZULFIQAR AHMED MD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE/PULMONARY DISEASE
Authorized Official - Prefix:DR
Authorized Official - First Name:ZULFIQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-244-7771
Mailing Address - Street 1:1030 S. GLENDALE AVENUE
Mailing Address - Street 2:SUITE #406
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205
Mailing Address - Country:US
Mailing Address - Phone:818-244-7771
Mailing Address - Fax:818-244-7778
Practice Address - Street 1:1030 S GLENDALE AVE
Practice Address - Street 2:SUITE #406
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-5612
Practice Address - Country:US
Practice Address - Phone:818-244-7771
Practice Address - Fax:818-244-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53666207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty