Provider Demographics
NPI:1558517573
Name:ZAFAR, MOHSIN (MD)
Entity Type:Individual
Prefix:
First Name:MOHSIN
Middle Name:
Last Name:ZAFAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 111TH AVE N
Mailing Address - Street 2:SUITE# 2
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1869
Mailing Address - Country:US
Mailing Address - Phone:239-566-1332
Mailing Address - Fax:239-566-1404
Practice Address - Street 1:870 111TH AVE N
Practice Address - Street 2:SUITE# 2
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1869
Practice Address - Country:US
Practice Address - Phone:239-566-1332
Practice Address - Fax:239-566-1404
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-10
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102512207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine