Healthcare Provider Details

I. General information

NPI: 1033202999
Provider Name (Legal Business Name): SYED ZAFAR AHSAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1657 MERRIMAC TRL
WILLIAMSBURG VA
23185-5624
US

IV. Provider business mailing address

PO BOX 5070
WILLIAMSBURG VA
23188-5200
US

V. Phone/Fax

Practice location:
  • Phone: 757-220-3200
  • Fax: 757-253-4013
Mailing address:
  • Phone: 423-956-2499
  • Fax: 423-956-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101050693
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: