Healthcare Provider Details

I. General information

NPI: 1952074627
Provider Name (Legal Business Name): NADIA ZAFAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 DUNLAP ST N
SAINT PAUL MN
55104-4201
US

IV. Provider business mailing address

1550 EUSTIS ST APT N
SAINT PAUL MN
55108-1259
US

V. Phone/Fax

Practice location:
  • Phone: 651-290-9200
  • Fax:
Mailing address:
  • Phone: 727-348-1679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD15483
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: