Healthcare Provider Details

I. General information

NPI: 1093210890
Provider Name (Legal Business Name): WALEED ZAFAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVE
DANVILLE PA
17822-0001
US

IV. Provider business mailing address

233 GHANER DR
STATE COLLEGE PA
16803-1172
US

V. Phone/Fax

Practice location:
  • Phone: 570-214-9585
  • Fax: 570-214-9519
Mailing address:
  • Phone: 346-901-0122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD475862
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: