Provider Demographics
NPI:1124122718
Name:ZAFRA, ZYNNIA C (MD)
Entity type:Individual
Prefix:
First Name:ZYNNIA
Middle Name:C
Last Name:ZAFRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 UNIVERSITY BLVD
Mailing Address - Street 2:PO BOX 21231
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35402-1231
Mailing Address - Country:US
Mailing Address - Phone:205-759-0904
Mailing Address - Fax:205-759-0931
Practice Address - Street 1:200 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35402-1231
Practice Address - Country:US
Practice Address - Phone:205-759-0904
Practice Address - Fax:205-759-0931
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000213412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
051046351OtherBC
ALP00237283OtherRAILROAD
AL009931615Medicaid
AL051571248OtherBLUE CROSS
AL000046351Medicaid
051046351OtherBC
AL051571248OtherBLUE CROSS
AL009931615Medicaid