Healthcare Provider Details

I. General information

NPI: 1982873394
Provider Name (Legal Business Name): ZAFAR REHMANI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3466 BRIDGELAND DR STE. 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: 314-291-2500
  • Fax: 314-291-2687
Mailing address:
  • Phone: 636-352-2266
  • Fax: 314-256-2571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAMELA S ISLAND
Title or Position: OFFICE MANAGER
Credential:
Phone: 314-209-8222