1649429440 NPI number — ZAFAR NAFIS NAQVI M.D.

Table of content: ZAFAR NAFIS NAQVI M.D. (NPI 1649429440)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649429440 NPI number — ZAFAR NAFIS NAQVI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAQVI
Provider First Name:
ZAFAR
Provider Middle Name:
NAFIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649429440
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/06/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 40
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTHBRIDGE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01550-0040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-909-7799
Provider Business Mailing Address Fax Number:
508-764-2432

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10010K SHOPS WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHBOROUGH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01532-4137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-936-3866
Provider Business Practice Location Address Fax Number:
508-936-3867
Provider Enumeration Date:
09/17/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  246219 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)