Provider Demographics
NPI:1528334414
Name:SHAZIA ZAFAR MD LLC
Entity type:Organization
Organization Name:SHAZIA ZAFAR MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-883-2500
Mailing Address - Street 1:3850 WINDMILL LAKES RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-2107
Mailing Address - Country:US
Mailing Address - Phone:954-883-2500
Mailing Address - Fax:954-538-0304
Practice Address - Street 1:1000 N HIATUS RD STE 110
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3094
Practice Address - Country:US
Practice Address - Phone:954-883-2500
Practice Address - Fax:954-538-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-26
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95785207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004794200Medicaid
IAI 1178Medicare UPIN
FL004794200Medicaid