Provider Demographics
NPI:1225008584
Name:JAFFERY, SYEDA UZMA (MD)
Entity Type:Individual
Prefix:DR
First Name:SYEDA
Middle Name:UZMA
Last Name:JAFFERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-7201
Mailing Address - Country:US
Mailing Address - Phone:214-648-9706
Mailing Address - Fax:214-648-9531
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-2107
Practice Address - Country:US
Practice Address - Phone:214-648-9706
Practice Address - Fax:214-648-9531
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0090960173000000X
TXQ2420208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16756OtherBCBS
FLME90960OtherUNITED BENEFITS
FLME90960OtherVHN
FL260868000Medicaid
TXQ2420OtherMEDICAL LICENSE
FL260868000Medicaid