Provider Demographics
NPI:1922427376
Name:ZAFAR, JAWAD (DO)
Entity Type:Individual
Prefix:DR
First Name:JAWAD
Middle Name:
Last Name:ZAFAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-0208
Mailing Address - Country:US
Mailing Address - Phone:703-766-6555
Mailing Address - Fax:800-731-6158
Practice Address - Street 1:2233 S KANAWHA ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801
Practice Address - Country:US
Practice Address - Phone:304-250-7611
Practice Address - Fax:855-652-7320
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010244312084P0800X
WV31122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry