Provider Demographics
NPI:1720247976
Name:HUSSAIN, ZAFAR (MD)
Entity Type:Individual
Prefix:
First Name:ZAFAR
Middle Name:
Last Name:HUSSAIN
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: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:850-257-6668
Mailing Address - Fax:877-518-0833
Practice Address - Street 1:1714 W 23RD ST STE D
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
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193285207R00000X
FLME103366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine