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NPI Code Detail

MEDICARE: ZULFIQAR M JUSSA MD

MEDICARE:   ZULFIQAR M JUSSA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician10310NV
2207R00000XInternal Medicine PhysicianL6969TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110247402OTHERNVRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265490544
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZULFIQAR M JUSSA MD
Provider Business Mailing Address
First Line : 12221 MERIT DR.
Second Line : STE 1500
City : DALLAS
State : TX
Zip : 75251
Country : US
Telephone Number : 214-217-1900
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 12221 MERIT DR.
Second Line : STE 1500
City : DALLAS
State : TX
Zip : 75251
Country : US
Telephone Number : 702-464-8866
Fax Number : 702-671-6851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 11/20/2014

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Directions to “ ZULFIQAR M JUSSA MD” Practice Location

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