Provider Demographics
NPI:1477871861
Name:HAITHAM JIFI MD PA
Entity Type:Organization
Organization Name:HAITHAM JIFI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAITHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JIFI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-991-0112
Mailing Address - Street 1:7326 S STAPLES ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-5509
Mailing Address - Country:US
Mailing Address - Phone:361-991-0112
Mailing Address - Fax:361-991-0181
Practice Address - Street 1:7326 S STAPLES ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5509
Practice Address - Country:US
Practice Address - Phone:361-991-0112
Practice Address - Fax:361-991-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty