Provider Demographics
NPI:1952361545
Name:MAHMOOD, ZAFAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAFAR
Middle Name:
Last Name:MAHMOOD
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 1:6230 NW BARRY ROAD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154
Mailing Address - Country:US
Mailing Address - Phone:816-505-3311
Mailing Address - Fax:816-505-3511
Practice Address - Street 1:6230 NW BARRY ROAD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154
Practice Address - Country:US
Practice Address - Phone:816-505-3311
Practice Address - Fax:816-505-3511
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO19991372562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100401770CMedicaid
KS100401770FMedicaid
MO204973705Medicaid
MON22A525Medicare PIN
KS102599Medicare PIN
MO204973705Medicaid