Organization
WABASH VALLEY INFECTIOUS DISEASES CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANWER AHMED JAFFRI MD (OWNER)
(812) 645-3472
Entity
Organization
Contact information
Practice address
315 E DAVIS DR, TERRE HAUTE, IN 47802-4072
(812) 645-3472
(855) 737-0583
Mailing address
315 E DAVIS DR, TERRE HAUTE, IN 47802-4072
(812) 645-3472
(855) 737-0583
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
01052586A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
—
Enumeration date
01/27/2009
Last updated
03/23/2026
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