Healthcare Provider Details

I. General information

NPI: 1942616925
Provider Name (Legal Business Name): ZAHID AFZAL D.D.S.,M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST NGE 08
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

1228 PLEASANT VALLEY DR
CATONSVILLE MD
21228-2649
US

V. Phone/Fax

Practice location:
  • Phone: 410-706-3964
  • Fax:
Mailing address:
  • Phone: 410-292-1511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number019-035376
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: