Organization
GITA JAFARI-RASKE, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GITA JAFARI-RASKE MD (OWNER)
(480) 926-0170
Entity
Organization
Contact information
Practice address
4802 E RAY RD, SUITE 23-534, PHOENIX, AZ 85044-6405
(480) 926-0170
Mailing address
4802 E RAY RD STE 23-534, PHOENIX, AZ 85044-6405
(480) 926-0170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG8126
RR MEDICARE
AZ
Enumeration date
11/27/2007
Last updated
09/25/2019
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