Healthcare Provider Details

I. General information

NPI: 1598915795
Provider Name (Legal Business Name): UZMA ZAFAR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 06/16/2022
Certification Date: 06/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5536 S FORT APACHE RD STE 102
LAS VEGAS NV
89148-7687
US

IV. Provider business mailing address

11035 LAVENDER HILL DR STE 160-441
LAS VEGAS NV
89135-2955
US

V. Phone/Fax

Practice location:
  • Phone: 702-915-7001
  • Fax: 702-909-9254
Mailing address:
  • Phone: 702-915-7001
  • Fax: 702-909-9254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number12838
License Number StateNV

VIII. Authorized Official

Name: UZMA ZAFAR
Title or Position: PRESIDENT
Credential: MD
Phone: 702-301-1115