Provider Demographics
NPI:1275573099
Name:KAFAJI, AHMED H (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:H
Last Name:KAFAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28105 THREE NOTCH RD STE 1C
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-3235
Mailing Address - Country:US
Mailing Address - Phone:301-290-1510
Mailing Address - Fax:301-290-1574
Practice Address - Street 1:28105 THREE NOTCH RD STE 1C
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-3235
Practice Address - Country:US
Practice Address - Phone:301-290-1510
Practice Address - Fax:301-290-1574
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060886174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine