Healthcare Provider Details

I. General information

NPI: 1750968616
Provider Name (Legal Business Name): IMRAN ZAFAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E DISCOVERY PARKWAY
BLOOMINGTON IN
47408
US

IV. Provider business mailing address

PO BOX 1332
BLOOMINGTON IN
47402-1332
US

V. Phone/Fax

Practice location:
  • Phone: 812-353-5252
  • Fax:
Mailing address:
  • Phone: 844-740-1416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberU7091
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01097425A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: