Provider Demographics
NPI:1316997257
Name:HOSSAIN, ZAFAR (MD)
Entity type:Individual
Prefix:
First Name:ZAFAR
Middle Name:
Last Name:HOSSAIN
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:PO BOX 100174
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-3174
Mailing Address - Country:US
Mailing Address - Phone:864-512-5780
Mailing Address - Fax:864-375-1155
Practice Address - Street 1:2000 E GREENVILLE ST STE 2300
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1721
Practice Address - Country:US
Practice Address - Phone:864-512-5780
Practice Address - Fax:864-375-1155
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18859207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT26816Medicaid
110170795OtherRAILROAD MEDICARE
SCT26816Medicaid
G28928Medicare UPIN
SCT26816Medicaid