Provider Demographics
NPI:1770504698
Name:ZAFAR, HAIDER (MD)
Entity Type:Individual
Prefix:MR
First Name:HAIDER
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 1:9250 W THOMAS RD
Mailing Address - Street 2:STE 150
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-3382
Mailing Address - Country:US
Mailing Address - Phone:480-941-1211
Mailing Address - Fax:623-478-1534
Practice Address - Street 1:9250 W THOMAS RD
Practice Address - Street 2:STE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3382
Practice Address - Country:US
Practice Address - Phone:623-478-8091
Practice Address - Fax:623-478-1534
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24284174400000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ351669Medicaid
AZ351669Medicaid