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NPI Code Detail

MEDICARE: KAMIL MUZAFFAR MD

MEDICARE: KAMIL MUZAFFAR 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
1207Y00000XOtolaryngology Physician36094467IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K01733OTHERILMEDICARE

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 : 1346227295
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMIL MUZAFFAR MD
Provider Business Mailing Address
First Line : 2160 S 1ST AVE
Second Line : (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-233-5333
Fax Number : 708-233-5348
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line : (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-233-5333
Fax Number : 708-233-5348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 01/08/2010

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Directions to “ KAMIL MUZAFFAR MD” Practice Location

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