Individual
AHAMED J JIFFRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
399 EAST HIGHLAND AVENUE, SUITE 312, SAN BERNARDINO, CA 92404
(909) 886-8227
(909) 883-3358
Mailing address
399 EAST HIGHLAND AVENUE, SUITE 312, SAN BERNARDINO, CA 92404
(909) 886-8227
(909) 883-3358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A043501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A435010
—
CA
01
—
ZZZ346365Z
BLUE SHIELD
—
Enumeration date
08/17/2006
Last updated
06/09/2014
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