Provider Demographics
NPI:1093496036
Name:GHAFARY, ZUHAL
Entity Type:Individual
Prefix:
First Name:ZUHAL
Middle Name:
Last Name:GHAFARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 GALLOWAY RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2300
Mailing Address - Country:US
Mailing Address - Phone:215-960-1404
Mailing Address - Fax:
Practice Address - Street 1:2619 GALLOWAY RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2300
Practice Address - Country:US
Practice Address - Phone:215-960-1404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program