Zahurullah, Fazlur R.

Zahurullah, Fazlur R. is an individual health care provider with primary practice located at 3401 N Perryville Rd , Rockford IL 61114-8011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Zahurullah, Fazlur R. can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
3401 N Perryville Rd Rockford IL 61114-8011
Phone: (815) 971-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 036102836 Illinois

Profile Details

NPI number 1720068695
LBN Legal business name Zahurullah, Fazlur R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720068695 NPPES
Illinois MEDICAID 036102836

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