Provider Demographics
NPI:1770556185
Name:ZAFAR, UZMA (MD)
Entity type:Individual
Prefix:DR
First Name:UZMA
Middle Name:
Last Name:ZAFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11035 LAVENDER HILL DR STE 160-441
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-2955
Mailing Address - Country:US
Mailing Address - Phone:702-915-7001
Mailing Address - Fax:702-909-9254
Practice Address - Street 1:5536 S FORT APACHE RD STE 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-7687
Practice Address - Country:US
Practice Address - Phone:702-915-7001
Practice Address - Fax:702-909-9254
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040333042084P0800X
NV128382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1770556185Medicaid
NV12838OtherSTATE LICENSE
NVBX818ZMedicare PIN
NV12838OtherSTATE LICENSE
MO000013791Medicare ID - Type UnspecifiedECMBHS GROUP