Healthcare Provider Details

I. General information

NPI: 1497231591
Provider Name (Legal Business Name): RIZWAN ZAFAR MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 N 21ST ST
CAMP HILL PA
17011-2204
US

IV. Provider business mailing address

503 N 21ST ST
CAMP HILL PA
17011-2204
US

V. Phone/Fax

Practice location:
  • Phone: 717-972-4448
  • Fax: 717-972-7366
Mailing address:
  • Phone: 717-972-4448
  • Fax: 717-972-7366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD474467
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: