Provider Demographics
NPI:1831280825
Name:AWAN, ZAFAR AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAFAR
Middle Name:AHMAD
Last Name:AWAN
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 1:13928- BAINWICK DRIVE NW
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-0000
Mailing Address - Country:US
Mailing Address - Phone:614-452-4533
Mailing Address - Fax:740-919-0275
Practice Address - Street 1:13928- BAINWICK DRIVE NW
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-0000
Practice Address - Country:US
Practice Address - Phone:740-919-0275
Practice Address - Fax:740-919-0234
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.088573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2691485Medicaid
OH35088573OtherMEDICAL LICENSE
OHI 61707Medicare UPIN
OH4193236Medicare PIN