Healthcare Provider Details

I. General information

NPI: 1770556185
Provider Name (Legal Business Name): UZMA ZAFAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
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 TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2004033304
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number12838
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: