MEDICARE: KIMIYA ZAFAR PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5563	CT

General Provider Information

NPI Number	:	1699422667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMIYA ZAFAR PA

Provider Business Mailing Address
First Line	:	20 YORK ST
Second Line	:	CB2041
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-1289
Country	:	US
Telephone Number	:	203-688-4768
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 YORK ST
Second Line	:	CB 2041
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-0651
Country	:	US
Telephone Number	:	203-688-4748
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/09/2022

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