# MIRAGE PODIATRY FOOT AND ANKLE SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114545506
- **Authorized official:** DR. HAMMAD MOHAMMAD ZAFAR DPM (DOCTOR)
- **Authorized official phone:** (480) 358-7970

## Contact information

- **Practice address:** 9250 N 3RD ST STE 3020, PHOENIX, AZ 85020-2425
- **Practice address phone:** (480) 939-3440
- **Practice address fax:** (480) 939-3448
- **Mailing address:** 9250 N 3RD ST STE 3020, PHOENIX, AZ 85020-2425
- **Mailing address phone:** (480) 939-3440
- **Mailing address fax:** (480) 939-3448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2020
- **Last updated:** 09/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1164752283 | — | AZ |
| 05 | — | 1164809711 | — | AZ |