Individual
AHMED H JAFRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W JACKSON ST STE 103, CARBONDALE, IL 62901-1474
(618) 351-4972
(618) 351-6522
Mailing address
1438 S GRAND BLVD, MONTELEONE HALL, SAINT LOUIS, MO 63104-1027
(314) 977-4883
(314) 977-4876
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036078345
IL
2084N0400X
Neurology Physician
R1P30
MO
2084N0600X
Clinical Neurophysiology Physician
R1P30
MO
2084V0102X
Vascular Neurology Physician
R1P30
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203014618
—
MO
Enumeration date
05/20/2006
Last updated
09/19/2025
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