Provider Demographics
NPI:1104952506
Name:ALFA CONSULTING LLC
Entity type:Organization
Organization Name:ALFA CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:FARIBORZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARFESHAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:301-754-2532
Mailing Address - Street 1:8910 STATE ROUTE 108 STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2151
Mailing Address - Country:US
Mailing Address - Phone:301-754-2532
Mailing Address - Fax:301-754-2534
Practice Address - Street 1:8910 STATE ROUTE 108 STE C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2151
Practice Address - Country:US
Practice Address - Phone:301-754-2532
Practice Address - Fax:301-754-2534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2024-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X, 3336I0012X, 3336S0011X
MDPW03003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0386746Medicaid
MD4125681Medicaid
2038220OtherPK
MD4125681Medicaid
MD5524067-00OtherMARYLAND MEDICAID DME PROVIDER