Provider Demographics
NPI:1437332780
Name:JAFRI, AQEEL A (MD)
Entity Type:Individual
Prefix:
First Name:AQEEL
Middle Name:A
Last Name:JAFRI
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 1:6351 ACER CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-3874
Mailing Address - Country:US
Mailing Address - Phone:918-271-1041
Mailing Address - Fax:
Practice Address - Street 1:203 S. WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:TONASKET
Practice Address - State:WA
Practice Address - Zip Code:98855-8803
Practice Address - Country:US
Practice Address - Phone:509-486-3107
Practice Address - Fax:509-486-3160
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10027421207Q00000X
WAMD60077699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine