Individual
DR. RANDA JAAFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 E 49TH ST APT 17A, NEW YORK, NY 10017-1580
(313) 204-8040
Mailing address
250 E 49TH ST APT 17A, NEW YORK, NY 10017-1580
(313) 204-8040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207L00000X
OH
207L00000X
Anesthesiology Physician
35-092622
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
261144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03488497
—
NY
Enumeration date
09/18/2008
Last updated
04/04/2018
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