Healthcare Provider Details

I. General information

NPI: 1497950661
Provider Name (Legal Business Name): ADEEL ZAFAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N 18TH ST SUITE 309
PHOENIX AZ
85006-4102
US

IV. Provider business mailing address

525 N 18TH ST SUITE 309
PHOENIX AZ
85006-4102
US

V. Phone/Fax

Practice location:
  • Phone: 602-377-7326
  • Fax:
Mailing address:
  • Phone: 602-377-7326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number44729
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: