Healthcare Provider Details

I. General information

NPI: 1548278906
Provider Name (Legal Business Name): GHAZALA ZAFAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 01/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BARCLAY CIRCLE SUITE 100
ROCHESTER MI
48307
US

IV. Provider business mailing address

135 BARCLAY CIRCLE SUITE 100
ROCHESTER MI
48307
US

V. Phone/Fax

Practice location:
  • Phone: 248-852-2277
  • Fax: 248-852-2552
Mailing address:
  • Phone: 248-852-2277
  • Fax: 248-852-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301065025
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: