Provider Demographics
NPI:1053055004
Name:KASHEF AL-GHETAA, JAAFAR KHALID F (MB, BCH, BAO)
Entity Type:Individual
Prefix:MR
First Name:JAAFAR
Middle Name:KHALID F
Last Name:KASHEF AL-GHETAA
Suffix:
Gender:M
Credentials:MB, BCH, BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 JEFFERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1701
Mailing Address - Country:US
Mailing Address - Phone:419-251-1400
Mailing Address - Fax:419-251-4159
Practice Address - Street 1:2200 JEFFERSON AVENUE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-1701
Practice Address - Country:US
Practice Address - Phone:419-251-1400
Practice Address - Fax:419-251-4159
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program