Basic Information
| Provider Information | |||||||||
| NPI: | 1508919572 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZUBERI | ||||||||
| FirstName: | KASHIF | ||||||||
| MiddleName: | AHMED | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MBBCH FACS MRCSI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1233 34TH ST NW | ||||||||
| Address2: | |||||||||
| City: | BEMIDJI | ||||||||
| State: | MN | ||||||||
| PostalCode: | 566015112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2183335283 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1233 34TH ST NW | ||||||||
| Address2: | |||||||||
| City: | BEMIDJI | ||||||||
| State: | MN | ||||||||
| PostalCode: | 56601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2183335283 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2007 | ||||||||
| LastUpdateDate: | 04/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | T1619 | MD | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | TP 106852 | MN | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.