Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.099850 | OH |
N | 207Q00000X | Family Doctor | 61005-20 | WI |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 35099850 | OH |
NPI | 1023250073 |
---|---|
Provider Name | Zahra Aftab |
First Address | Toledo, OH 43615-4040 |
Second Address | Toledo, OH 43614-2426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 28/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0157816 | (05) | OH |