Provider Demographics
NPI:1578207221
Name:ZAFAR, MAHA (MBBS/MD)
Entity Type:Individual
Prefix:MISS
First Name:MAHA
Middle Name:
Last Name:ZAFAR
Suffix:
Gender:F
Credentials:MBBS/MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 ROGERS AVENUE
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903
Mailing Address - Country:US
Mailing Address - Phone:479-573-3842
Mailing Address - Fax:479-314-4704
Practice Address - Street 1:7301 ROGERS AVENUE
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903
Practice Address - Country:US
Practice Address - Phone:479-573-3842
Practice Address - Fax:479-314-4704
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2023-03-08
Deactivation Date:2023-01-30
Deactivation Code:
Reactivation Date:2023-03-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program