Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 259770 | NY |
N | 207N00000X | Dermatologist | 25MA08624400 | NJ |
N | 207N00000X | Dermatologist | 35.137367 | OH |
Y | 207N00000X | Dermatologist | MD61239203 | WA |
NPI | 1023178092 |
---|---|
Provider Name | Rahat Syed Azfar |
First Address | Portsmouth, OH 45662-2681 |
Second Address | Portsmouth, OH 45662 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 09/02/2022 |