Individual
DR. IRFAN A AFAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130-5989
(502) 265-0491
(502) 222-8745
Mailing address
PO BOX 265, JEFFERSONVILLE, IN 47131-0265
(502) 265-0491
(502) 222-8745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01057489A
IN
2084P0800X
Psychiatry Physician
37705
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30612022
—
KY
Enumeration date
08/29/2005
Last updated
05/20/2014
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