Provider Demographics
NPI:1518025436
Name:AFSAR, ZOKA M (DO)
Entity Type:Individual
Prefix:DR
First Name:ZOKA
Middle Name:M
Last Name:AFSAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ZOKA
Other - Middle Name:
Other - Last Name:MAZARREI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:14139 POTOMAC MILLS RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-4644
Mailing Address - Country:US
Mailing Address - Phone:703-490-7694
Mailing Address - Fax:703-490-7650
Practice Address - Street 1:14139 POTOMAC MILLS RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4644
Practice Address - Country:US
Practice Address - Phone:703-490-8400
Practice Address - Fax:703-490-4635
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201181207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110008463Medicare ID - Type Unspecified
H63766Medicare UPIN