Healthcare Provider Details

I. General information

NPI: 1053616722
Provider Name (Legal Business Name): MUHAMMAD ATIF ZUBAIRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2011
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 W OAK ST
KISSIMMEE FL
34741-6625
US

IV. Provider business mailing address

802 W OAK ST
KISSIMMEE FL
34741-6625
US

V. Phone/Fax

Practice location:
  • Phone: 407-933-2231
  • Fax: 407-933-2232
Mailing address:
  • Phone: 407-933-2231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number87165
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberME143736
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME143736
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number304057
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number87165
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRS2010-0728
License Number StateNM
# 7
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35139584
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: