Healthcare Provider Details
I. General information
NPI: 1154096972
Provider Name (Legal Business Name): ZAFAR PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2021
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3755 S ROME ST
GILBERT AZ
85297-7361
US
IV. Provider business mailing address
2925 E RIGGS RD STE 8-282
CHANDLER AZ
85249-3600
US
V. Phone/Fax
- Phone: 480-631-9589
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADEEL
ZAFAR
Title or Position: OWNER
Credential: MD
Phone: 623-308-2472