Provider Demographics
NPI:1770720534
Name:ZUBAIR CARDIOVASCULAR INC
Entity type:Organization
Organization Name:ZUBAIR CARDIOVASCULAR INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-746-4440
Mailing Address - Street 1:82 SOUTH 1100 EAST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102
Mailing Address - Country:US
Mailing Address - Phone:801-746-0430
Mailing Address - Fax:801-746-0433
Practice Address - Street 1:82 SOUTH 1100 EAST
Practice Address - Street 2:SUITE 402
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102
Practice Address - Country:US
Practice Address - Phone:801-746-0430
Practice Address - Fax:801-746-0433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT178906-1205207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1992798243Medicaid
UT1992798243Medicaid
UTC78899Medicare UPIN