Healthcare Provider Details

I. General information

NPI: 1487629754
Provider Name (Legal Business Name): ZAFAR REHMANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ZAFAR REHMANI MD

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 02/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3466 BRIDGELAND DR SUITE 150
BRIDGETON MO
63044-2606
US

IV. Provider business mailing address

PO BOX 816
SAINT PETERS MO
63376-0015
US

V. Phone/Fax

Practice location:
  • Phone: 314-209-8222
  • Fax: 314-291-2687
Mailing address:
  • Phone: 636-352-2266
  • Fax: 314-260-7509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number2002012691
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: