Basic Information
Provider Information
NPI: 1124479720
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAFAR
FirstName: HIRA
MiddleName: FAHAD
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 297 NORTH ST STE 221
Address2:  
City: HYANNIS
State: MA
PostalCode: 026015133
CountryCode: US
TelephoneNumber: 5088627777
FaxNumber:  
Practice Location
Address1: 1030 FALMOUTH RD
Address2:  
City: HYANNIS
State: MA
PostalCode: 026012324
CountryCode: US
TelephoneNumber: 7745523209
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/24/2016
LastUpdateDate: 07/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XTRN # 23210FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X279290MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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