Provider Demographics
NPI:1548463060
Name:AFZAL, MUHAMMAD FAROOQ (MD,FRSCSED)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:FAROOQ
Last Name:AFZAL
Suffix:
Gender:M
Credentials:MD,FRSCSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOUSE NO 6 B-1
Mailing Address - Street 2:SECTOR F-1,NEAR OPF GIRLS SCHOOL
Mailing Address - City:MIRPUR
Mailing Address - State:AJK
Mailing Address - Zip Code:10250
Mailing Address - Country:PK
Mailing Address - Phone:0586-103-2982
Mailing Address - Fax:
Practice Address - Street 1:1040 NW 22ND AVE
Practice Address - Street 2:GSMB 2,SUITE 500
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3057
Practice Address - Country:US
Practice Address - Phone:503-227-5050
Practice Address - Fax:503-227-2462
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLL15943390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program