Provider Demographics
NPI:1164492575
Name:MEMON, ZARINA GAFUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ZARINA
Middle Name:GAFUR
Last Name:MEMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-2610
Mailing Address - Country:US
Mailing Address - Phone:781-648-2307
Mailing Address - Fax:781-648-2307
Practice Address - Street 1:15 SUNSET RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-2610
Practice Address - Country:US
Practice Address - Phone:781-648-2307
Practice Address - Fax:781-648-2307
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA150029207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA150029OtherTUFTS
MA3190382Medicaid
MA5747705OtherAETNA
MA273869BITOtherHARVARD PILGRIM
MA2106312OtherUS HEALTH
MAJ19751OtherBC/BS
MAJ19751OtherBC/BS
MAA29236Medicare ID - Type Unspecified