MEDICARE: ZEESHAN AFZAL M.D.

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
1	207RR0500X	Rheumatology Physician	BP20047803	TX
2	207RR0500X	Rheumatology Physician	U1459	TX
3	207R00000X	Internal Medicine Physician	BP10036942	TX

General Provider Information

NPI Number	:	1649586256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEESHAN AFZAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 189
Second Line	:
City	:	CLARKSTON
State	:	WA
Zip	:	99403-0189
Country	:	US
Telephone Number	:	509-758-5511
Fax Number	:	509-758-3566

Provider Business Practice Location Address
First Line	:	2000B TRANSMOUNTAIN RD STE B400
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79911-3600
Country	:	US
Telephone Number	:	915-215-8523
Fax Number	:	915-215-8672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2010
Last Update Date	:	04/23/2025

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