Provider Demographics
NPI:1588364525
Name:KASHIF AHMED ZUBERI, MD, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:KASHIF AHMED ZUBERI, MD, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KASHIF
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ZUBERI
Authorized Official - Suffix:
Authorized Official - Credentials:MBBCH BAO LRCPSI
Authorized Official - Phone:667-216-0261
Mailing Address - Street 1:2517 CHAD ZELLER LN
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-8051
Mailing Address - Country:US
Mailing Address - Phone:667-216-0261
Mailing Address - Fax:
Practice Address - Street 1:3510 EAST SOUTH STREET
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712
Practice Address - Country:US
Practice Address - Phone:951-268-0207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty