Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | D0064120 | MD |
NPI | 1033154125 |
---|---|
Provider Name | Atif Zeeshan |
First Address | Berlin, MD 21811-1288 |
Second Address | Berlin, MD 21811-1155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 14/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000040238 | (05) | DE |
410907400 | (05) | MD |