Individual
DR. IRFAN JADAVJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3716 108TH ST, CORONA, NY 11368-2025
(718) 651-4000
Mailing address
9240 QUEENS BLVD APT 6K, REGO PARK, NY 11374-1047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
307261
NY
207Q00000X
Family Medicine Physician
P2126
TX
Other
Enumeration date
09/14/2012
Last updated
02/11/2021
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