Provider Demographics
NPI:1275773228
Name:ZAFAR, RAKHSHINDA PARVIN (MD)
Entity Type:Individual
Prefix:
First Name:RAKHSHINDA
Middle Name:PARVIN
Last Name:ZAFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAKHSHINDA
Other - Middle Name:
Other - Last Name:PARVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 447
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-0447
Mailing Address - Country:US
Mailing Address - Phone:814-849-4442
Mailing Address - Fax:814-849-6388
Practice Address - Street 1:117 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-8723
Practice Address - Country:US
Practice Address - Phone:734-525-5981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD68708207RI0011X
PAMD044798E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001432575Medicaid
PA001432575Medicaid