Healthcare Provider Details

I. General information

NPI: 1881570489
Provider Name (Legal Business Name): ADNAN AHMAD ZAFAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 92ND STREET BROOKLYN NEWYORK 11212
NEWYORK NY
11212
US

IV. Provider business mailing address

456 92ND STREET BROOKLYN NEWYORK 11212
NEWYORK NY
11212
US

V. Phone/Fax

Practice location:
  • Phone: 347-300-7771
  • Fax:
Mailing address:
  • Phone: 347-300-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0000
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: