Provider Demographics
NPI:1720146145
Name:ZAFAR, HARIS U (PHD, CCC-A)
Entity Type:Individual
Prefix:
First Name:HARIS
Middle Name:U
Last Name:ZAFAR
Suffix:
Gender:M
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 E CENTRAL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2380
Mailing Address - Country:US
Mailing Address - Phone:316-634-1100
Mailing Address - Fax:316-634-2928
Practice Address - Street 1:8020 E CENTRAL AVE STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2380
Practice Address - Country:US
Practice Address - Phone:316-634-1100
Practice Address - Fax:316-634-2928
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1272231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3355824601Medicaid
KS115039Medicare ID - Type UnspecifiedMEDICARE PROVIDED NUMBER