Provider Demographics
NPI:1215960554
Name:ZAFIROV, DIMITER HRISTOV (MD)
Entity type:Individual
Prefix:DR
First Name:DIMITER
Middle Name:HRISTOV
Last Name:ZAFIROV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3056 LINDBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-7522
Mailing Address - Country:US
Mailing Address - Phone:910-426-8880
Mailing Address - Fax:
Practice Address - Street 1:2041 VALLEYGATE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3688
Practice Address - Country:US
Practice Address - Phone:910-323-5203
Practice Address - Fax:910-223-1621
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000680174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
126T7OtherBCBS
NC89126T7Medicaid
8977288-001OtherCIGNA
NC2280510Medicare ID - Type Unspecified
NC89126T7Medicaid