Provider Demographics
NPI:1033487962
Name:JFD MEDICAL PLLC
Entity Type:Organization
Organization Name:JFD MEDICAL PLLC
Other - Org Name:REGIONAL LUNG AND SLEEP CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMEEL
Authorized Official - Middle Name:FARRUKH
Authorized Official - Last Name:DURRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACP FCCP
Authorized Official - Phone:484-602-8753
Mailing Address - Street 1:5800 ROUTE 378
Mailing Address - Street 2:PO BOX 429
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-1002
Mailing Address - Country:US
Mailing Address - Phone:610-966-9667
Mailing Address - Fax:610-966-9660
Practice Address - Street 1:327 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2704
Practice Address - Country:US
Practice Address - Phone:610-966-9667
Practice Address - Fax:610-966-9660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2014-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426228207RC0200X, 207RS0012X
PAMD 426228207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012685510001Medicaid
PA820732OtherFIRST PRIORITY HEALTH
PA93891OtherGEISINGER HEALTH PLAN
PA1732838OtherHIGHMARK BLUE SHIELD
PA7073539OtherAETNA
PA2378460OtherUNITED HEALTHCARE
PAH94914OtherHEALTH AMERICA
PA820732OtherFIRST PRIORITY HEALTH
PA1012685510001Medicaid
PAH94914Medicare UPIN