Provider Demographics
NPI:1063614790
Name:YUSUFZAI, IRFANULLAH (MD)
Entity type:Individual
Prefix:
First Name:IRFANULLAH
Middle Name:
Last Name:YUSUFZAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N HIGHLAND AVE
Mailing Address - Street 2:SUITE 455
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7388
Mailing Address - Country:US
Mailing Address - Phone:903-868-2800
Mailing Address - Fax:903-868-2822
Practice Address - Street 1:300 N HIGHLAND AVE
Practice Address - Street 2:SUITE 455
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7388
Practice Address - Country:US
Practice Address - Phone:903-868-2800
Practice Address - Fax:903-868-2822
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3841207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0050ZVOtherBCBS
TX0490040OtherCIGNA