Individual
AFTAB HASSAN JAFRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1730 E LAKE SHORE DR APT 1084, DECATUR, IL 62521-3809
(217) 329-1000
Mailing address
1730 E LAKE SHORE DR APT 1084, DECATUR, IL 62521-3809
(217) 329-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301097533
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201572
GENERAL SURGERY
MI
Enumeration date
07/11/2012
Last updated
12/30/2021
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