Basic Information
Provider Information
NPI: 1043525827
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AFZAL
FirstName: NADEEM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1901 N DUPONT HWY
Address2:  
City: NEW CASTLE
State: DE
PostalCode: 197201160
CountryCode: US
TelephoneNumber: 3022552707
FaxNumber: 3022554422
Practice Location
Address1: 1901 N DUPONT HWY
Address2:  
City: NEW CASTLE
State: DE
PostalCode: 197201160
CountryCode: US
TelephoneNumber: 3022552707
FaxNumber: 3022554422
Other Information
ProviderEnumerationDate: 08/17/2010
LastUpdateDate: 08/17/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XC70004195DEY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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