Provider Demographics
NPI:1568659266
Name:DRS AFRIDI & HAGEMAN INC
Entity Type:Organization
Organization Name:DRS AFRIDI & HAGEMAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:M FAROOQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AFRIDI
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:419-482-6800
Mailing Address - Street 1:5705 MONCLOVA RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1875
Mailing Address - Country:US
Mailing Address - Phone:419-482-6800
Mailing Address - Fax:419-482-6993
Practice Address - Street 1:5705 MONCLOVA RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1875
Practice Address - Country:US
Practice Address - Phone:419-482-6800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9124331Medicare PIN