Provider Demographics
NPI:1194824995
Name:ZAFAR, SYED N (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:N
Last Name:ZAFAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SYEDMOHAMMAD
Other - Middle Name:NASIM
Other - Last Name:ZAFAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3018 GOLD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-5851
Mailing Address - Country:US
Mailing Address - Phone:770-459-3728
Mailing Address - Fax:678-840-4035
Practice Address - Street 1:8820 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2266
Practice Address - Country:US
Practice Address - Phone:770-947-3000
Practice Address - Fax:770-947-3012
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038242207RC0200X
GAD58814207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEH14248Medicare UPIN
ME503982Medicare Oscar/Certification