Provider Demographics
NPI:1609929868
Name:JAFRI, SYED FAISAL (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:FAISAL
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 1:6675 HOLMES RD STE 430
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1167
Mailing Address - Country:US
Mailing Address - Phone:816-361-5525
Mailing Address - Fax:816-361-5775
Practice Address - Street 1:6675 HOLMES RD STE 430
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1167
Practice Address - Country:US
Practice Address - Phone:816-361-5525
Practice Address - Fax:816-361-5775
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-28324207RG0100X
MO101715207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100398210BMedicaid
MO208202952Medicaid
KS100398210BMedicaid
KSL149242AMedicare ID - Type Unspecified
MO208202952Medicaid