MEDICARE: ZULFIQAR ALI QUTRIO BALOCH 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	207RC0000X	Cardiovascular Disease Physician	71899	TN
2	207RC0000X	Cardiovascular Disease Physician	U0264	TX
3	207RI0011X	Interventional Cardiology Physician	71899	TN
4	207R00000X	Internal Medicine Physician	TRN# 23648	FL
5	207R00000X	Internal Medicine Physician	4301119237	MI

General Provider Information

NPI Number	:	1982085106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZULFIQAR ALI QUTRIO BALOCH M.D.

Provider Business Mailing Address
First Line	:	3955 PATIENT CARE DR STE A
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-4271
Country	:	US
Telephone Number	:	517-374-7600
Fax Number	:	855-495-5457

Provider Business Practice Location Address
First Line	:	2996 KATE BOND RD STE 305
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-4063
Country	:	US
Telephone Number	:	901-300-2971
Fax Number	:

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

Provider Enumeration Date	:	06/12/2015
Last Update Date	:	05/04/2026

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