Healthcare Provider Details
I. General information
NPI: 1851032924
Provider Name (Legal Business Name): TALHA ZUNAIR MUBASHIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 WOODS RD
VALHALLA NY
10595-1530
US
IV. Provider business mailing address
95 DUNCANWOODS DRIVE
TORONTO ONTARIO
M9L2C7
CA
V. Phone/Fax
- Phone: 914-493-7000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: