Provider Demographics
NPI:1528649753
Name:FURNITUREWALA, SUKAINA AFZAL
Entity type:Individual
Prefix:DR
First Name:SUKAINA
Middle Name:AFZAL
Last Name:FURNITUREWALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 SAINT PAUL ST APT 422
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2758
Mailing Address - Country:US
Mailing Address - Phone:443-788-5014
Mailing Address - Fax:
Practice Address - Street 1:3501 SAINT PAUL ST APT 422
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2758
Practice Address - Country:US
Practice Address - Phone:443-788-5014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program