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Individual
DR. UNKNOWN ZULKHARNAIN
Active
Individual
DR. UNKNOWN ZULKHARNAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206334
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010195106
UNIVERA
NY
01
—
000523687009
WNY BCBS
NY
05
—
01614204
—
NY
01
—
0409228
IHA
NY
Enumeration date
11/29/2006
Last updated
08/26/2022
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