Healthcare Provider Details

I. General information

NPI: 1609668029
Provider Name (Legal Business Name): MUHAMMAD OMAISE ZAFAR M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 08/13/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4351 E LOHMAN AVE BUILDING 3 STE 300
LAS CRUCES NM
88011
US

IV. Provider business mailing address

4351 E LOHMAN AVE BUILDING 3 STE 300 LAS CRUCES, NM 88011
LAS CRUCES NM
88011
US

V. Phone/Fax

Practice location:
  • Phone: 575-556-7600
  • Fax:
Mailing address:
  • Phone: 575-556-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: