MEDICARE: FAWAD SABOOH ZAFAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	30827	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	340014274	OTHER	IA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1649223835	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1003818493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAWAD SABOOH ZAFAR M.D.

Provider Business Mailing Address
First Line	:	1000 73RD ST STE 17
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-1321
Country	:	US
Telephone Number	:	515-277-8900
Fax Number	:	515-223-7361

Provider Business Practice Location Address
First Line	:	1000 73RD ST STE 17
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-1321
Country	:	US
Telephone Number	:	515-277-8900
Fax Number	:	515-223-7361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	12/23/2020

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Directions to “ FAWAD SABOOH ZAFAR M.D.” Practice Location

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