Basic Information
| Provider Information | |||||||||
| NPI: | 1548463060 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AFZAL | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | FAROOQ | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD,FRSCSED | ||||||||
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| Mailing Information | |||||||||
| Address1: | HOUSE NO 6 B-1 | ||||||||
| Address2: | SECTOR F-1,NEAR OPF GIRLS SCHOOL | ||||||||
| City: | MIRPUR | ||||||||
| State: | AJK | ||||||||
| PostalCode: | 10250 | ||||||||
| CountryCode: | PK | ||||||||
| TelephoneNumber: | 05861032982 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1040 NW 22ND AVE | ||||||||
| Address2: | GSMB 2,SUITE 500 | ||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972103057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5032275050 | ||||||||
| FaxNumber: | 5032272462 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | LL15943 | OR | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.