Basic Information
Provider Information
NPI: 1881601508
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOWDHRY
FirstName: ZAFAR
MiddleName: IQBAL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 145 HOSPITAL AVE STE 106
Address2:  
City: DU BOIS
State: PA
PostalCode: 158011463
CountryCode: US
TelephoneNumber: 8145034433
FaxNumber: 8145034435
Practice Location
Address1: 1111 FRANKLIN ST
Address2: SUITE 130
City: JOHNSTOWN
State: PA
PostalCode: 159054330
CountryCode: US
TelephoneNumber: 8145345724
FaxNumber: 8145361786
Other Information
ProviderEnumerationDate: 08/02/2006
LastUpdateDate: 01/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XMD036202LPAY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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