Provider Demographics
NPI:1508850538
Name:JAFRI, S NAYYER HUSSEIN (MD)
Entity Type:Individual
Prefix:
First Name:S NAYYER
Middle Name:HUSSEIN
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:PO BOX 951427
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0016
Mailing Address - Country:US
Mailing Address - Phone:614-457-8180
Mailing Address - Fax:614-442-2414
Practice Address - Street 1:793 W STATE ST
Practice Address - Street 2:MCW HOSPITAL PATHOLOGY DEPT
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1551
Practice Address - Country:US
Practice Address - Phone:614-234-5819
Practice Address - Fax:614-234-2931
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35075606207ZP0102X, 207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2097136Medicaid
OH2097136Medicaid