Provider Demographics
NPI:1417564162
Name:BAFI, ADOLF MBA
Entity Type:Individual
Prefix:
First Name:ADOLF
Middle Name:MBA
Last Name:BAFI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9905 GOOD LUCK RD APT T1
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3246
Mailing Address - Country:US
Mailing Address - Phone:240-706-4899
Mailing Address - Fax:
Practice Address - Street 1:9905 GOOD LUCK RD APT T1
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3246
Practice Address - Country:US
Practice Address - Phone:240-706-4899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-27
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide