Individual
FARRUKH M JAFRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DIXON ST STE 202, FREDERICKSBURG, VA 22401-7231
(540) 370-0430
(540) 370-0021
Mailing address
PO BOX 745462, ATLANTA, GA 30374-5462
(540) 370-0430
(540) 370-0021
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101236985
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010106141
—
VA
01
—
0101236985
LICENSE
VA
01
—
170342
ANTHEM
VA
01
—
3130173
MAMSI
VA
01
—
3643935
AETNA HMO
VA
01
—
7404613
AETNA NON HMO
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
01/19/2006
Last updated
04/06/2021
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