Healthcare Provider Details

I. General information

NPI: 1881521276
Provider Name (Legal Business Name): SYEDA KHADIJA ZULFIQAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 09/04/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NORTH STATE STREET UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, DEPARTMENT OF PATHOLOGY
JACKSON MS
39216
US

IV. Provider business mailing address

2500 NORTH STATE STREET UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, DEPARTMENT OF PATHOLOGY
JACKSON MS
39216
US

V. Phone/Fax

Practice location:
  • Phone: 601-815-2741
  • Fax: 601-984-1531
Mailing address:
  • Phone: 601-815-2741
  • Fax: 601-984-1531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberT-6297
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: