Basic Information
Provider Information
NPI: 1003140054
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAFAR
FirstName: GHAZAL
MiddleName: IFTIKHAR
NamePrefix:  
NameSuffix:  
Credential: M.B.B.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: IFTIKHAR
OtherFirstName: GHAZAL
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 12804 QUAIL CREEK DR
Address2:  
City: PEARLAND
State: TX
PostalCode: 775843108
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8610 MARTIN LUTHER KING JR BLVD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770332308
CountryCode: US
TelephoneNumber: 7137340199
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/23/2009
LastUpdateDate: 08/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XN7192TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home