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Individual

ZAHOOR A MAKHDOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 W DIANN LN, CARBONDALE, IL 62901-5339
(618) 549-8006
(618) 549-8434
Mailing address
PO BOX 365, CARBONDALE, IL 62903-0365
(618) 549-8006
(618) 549-8434

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036094155
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036094155
BCBS
IL
05
036094155
IL
01
036698
HEALTH ALLIANCE
01
03926864
BCBS IL
IL
01
435384
HEALTHLINK
Enumeration date
04/07/2006
Last updated
08/12/2008
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