Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 49308 | KY |
N | 208D00000X | General Practice Physician | 2014-01434 | NC |
NPI | 1033497888 |
---|---|
Provider Name | Muhammad Ali Zulqarnain |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0293 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2011 |
Last Update Date | 12/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
KY | (05) | KY |