Provider Demographics
NPI:1972709798
Name:UDDIN, MUHAMMAD ZAFAR (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:ZAFAR
Last Name:UDDIN
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 1:3051 JIMMY WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747
Mailing Address - Country:US
Mailing Address - Phone:601-622-6180
Mailing Address - Fax:601-622-6180
Practice Address - Street 1:3051 JIMMY WAY
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747
Practice Address - Country:US
Practice Address - Phone:601-622-6180
Practice Address - Fax:601-622-6180
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1129452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry