Provider Demographics
NPI:1770565012
Name:ZAHEER, M RAFIQ (MD)
Entity type:Individual
Prefix:
First Name:M
Middle Name:RAFIQ
Last Name:ZAHEER
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 1:611 S CARLIN SPRINGS RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-1078
Mailing Address - Country:US
Mailing Address - Phone:703-933-0700
Mailing Address - Fax:703-933-0134
Practice Address - Street 1:611 S CARLIN SPRINGS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1064
Practice Address - Country:US
Practice Address - Phone:703-933-0700
Practice Address - Fax:703-933-0134
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA19851174400000X
MDD43177174400000X
VA0101052178174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5851424Medicaid
DC36290001OtherCAREFIRST BLUECROSS BLUE
VA204118OtherANTHEM
VA5851424Medicaid
VA786293Medicare PIN