Healthcare Provider Details

I. General information

NPI: 1194824995
Provider Name (Legal Business Name): SYED N ZAFAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SYEDMOHAMMAD NASIM ZAFAR MD

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8820 HOSPITAL DR
DOUGLASVILLE GA
30134-2266
US

IV. Provider business mailing address

3018 GOLD CREEK DR
VILLA RICA GA
30180-5851
US

V. Phone/Fax

Practice location:
  • Phone: 770-947-3000
  • Fax: 770-947-3012
Mailing address:
  • Phone: 770-459-3728
  • Fax: 678-840-4035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD00038242
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD58814
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: