Individual
SHANE JAFRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
89442
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894429
—
SC
Enumeration date
03/18/2019
Last updated
08/09/2024
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