Provider Demographics
NPI:1780888479
Name:ZAFAR, SABOOHI (MD)
Entity type:Individual
Prefix:
First Name:SABOOHI
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 1:2107 ELDORADO PKWY STE 106
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7530
Mailing Address - Country:US
Mailing Address - Phone:469-919-0003
Mailing Address - Fax:
Practice Address - Street 1:2107 ELDORADO PKWY
Practice Address - Street 2:STE 106
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7530
Practice Address - Country:US
Practice Address - Phone:469-919-0003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5601207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184939003Medicaid
TX184939011Medicaid
TX184939013Medicaid
TX184939007Medicaid
TX184939014Medicaid
TX184939012Medicaid
TX8W8722OtherBLUE CROSS BLUE SHIELD
TX184939006Medicaid
TX184939001Medicaid
TX184939002Medicaid
TX184939004Medicaid
TX184939010Medicaid
TX184939009Medicaid
TX184939005Medicaid
TX184939008Medicaid
TX184939013Medicaid