Provider Demographics
NPI:1821403411
Name:ZAFAR HUSSAIN INTERNAL MEDICINE INC
Entity Type:Organization
Organization Name:ZAFAR HUSSAIN INTERNAL MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-257-6668
Mailing Address - Street 1:PO BOX 15548
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32406-5548
Mailing Address - Country:US
Mailing Address - Phone:850-481-1032
Mailing Address - Fax:850-481-1437
Practice Address - Street 1:1714 W 23RD ST STE P
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2924
Practice Address - Country:US
Practice Address - Phone:850-481-1032
Practice Address - Fax:850-481-1437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty