Basic Information
| Provider Information | |||||||||
| NPI: | 1023178092 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AZFAR | ||||||||
| FirstName: | RAHAT | ||||||||
| MiddleName: | SYED | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1735 27TH ST STE B06 | ||||||||
| Address2: | |||||||||
| City: | PORTSMOUTH | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456622681 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403568681 | ||||||||
| FaxNumber: | 7403537900 | ||||||||
| Practice Location | |||||||||
| Address1: | 1735 27TH ST STE 308 | ||||||||
| Address2: | |||||||||
| City: | PORTSMOUTH | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403567546 | ||||||||
| FaxNumber: | 7403566810 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2006 | ||||||||
| LastUpdateDate: | 02/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 35.137367 | OH | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | 25MA08624400 | NJ | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | 259770 | NY | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | MD61239203 | WA | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.