Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 01058551A | IN |
NPI | 1033110622 |
---|---|
Provider Name | Mubashir A Zahid |
First Address | Evansville, IN 47731-3276 |
Second Address | Evansville, IN 47710-1678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200825150A | (05) | IN |
64121593 | (05) | KY |
E21651 | (02) |