1922323377 NPI number — ZAFAR A. ANSARI MD PA

Table of content: (NPI 1922323377)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922323377 NPI number — ZAFAR A. ANSARI MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZAFAR A. ANSARI MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1922323377
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7 POST OFFICE RD
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
WALDORF
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20602-2744
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-396-4800
Provider Business Mailing Address Fax Number:
301-396-4802

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 POST OFFICE RD
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
WALDORF
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20602-2744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-396-4800
Provider Business Practice Location Address Fax Number:
301-396-4802
Provider Enumeration Date:
03/29/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ANSARI
Authorized Official First Name:
ZAFAR
Authorized Official Middle Name:
ABULHASAN
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
301-396-4800

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  D0053219 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7302029 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 005867983 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com