Individual
DR. FAHIM HAIDER JAFARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6868
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5874
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30369
AZ
207RC0000X
Cardiovascular Disease Physician
36343
WI
207RI0011X
Interventional Cardiology Physician
36343
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34671900
—
WI
01
—
JAFARFAH
MERCYCARE INSURANCE
WI
Enumeration date
06/17/2006
Last updated
04/08/2025
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