Healthcare Provider Details
I. General information
NPI: 1790982668
Provider Name (Legal Business Name): ZAFAR ABDUR RASHEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/02/2007
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8348 TRAFORD LN 4TH FLOOR
SPRINGFIELD VA
22152-1663
US
IV. Provider business mailing address
11694 CARIS GLENNE DR
HERNDON VA
20170-2487
US
V. Phone/Fax
- Phone: 703-866-2100
- Fax:
- Phone: 703-885-4540
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 0101240778 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: