Fazlur R. Zahurullah
Plastic Surgeon (Head & Neck)
3401 N Perryville Rd
Rockford
, Illinois 61114-8011
Fazlur R. Zahurullah
Plastic Surgeon (Head & Neck)
3401 N Perryville Rd
Rockford
, Illinois 61114-8011
(815) 971-2000
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Fazlur R. Zahurullah
- 3401 N Perryville Rd
- Rockford, IL
- Zip : 61114-8011
- Phone : (815) 971-2000
Second Address
- Fazlur R. Zahurullah
- 3401 N Perryville Rd
- Rockford, IL
- Zip : 61114-8011
- Phone : (815) 971-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 036102836 | IL |
National Provider Identifier
| NPI | 1720068695 |
|---|---|
| Provider Name | Fazlur R. Zahurullah |
| First Address | Rockford, IL 61114-8011 |
| Second Address | Rockford, IL 61114-8011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 26/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036102836 | (05) | IL |
| H31761 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.