Provider Demographics
NPI:1982873394
Name:ZAFAR REHMANI LLC
Entity type:Organization
Organization Name:ZAFAR REHMANI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ISLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-209-8222
Mailing Address - Street 1:PO BOX 816
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-0015
Mailing Address - Country:US
Mailing Address - Phone:636-352-2266
Mailing Address - Fax:314-256-2571
Practice Address - Street 1:3466 BRIDGELAND DR
Practice Address - Street 2:STE. 150
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2606
Practice Address - Country:US
Practice Address - Phone:314-291-2500
Practice Address - Fax:314-291-2687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO169404OtherANTHEM/BLUE CROSS BLUE SH