Provider Demographics
NPI:1487629754
Name:REHMANI, ZAFAR (MD)
Entity Type:Individual
Prefix:MR
First Name:ZAFAR
Middle Name:
Last Name:REHMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ZAFAR
Other - Middle Name:
Other - Last Name:REHMANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 816
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-0015
Mailing Address - Country:US
Mailing Address - Phone:636-352-2266
Mailing Address - Fax:314-260-7509
Practice Address - Street 1:3466 BRIDGELAND DR
Practice Address - Street 2:SUITE 150
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2606
Practice Address - Country:US
Practice Address - Phone:314-209-8222
Practice Address - Fax:314-291-2687
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020126912084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO169404OtherBCBS
MOH10117Medicare UPIN