Provider Demographics
NPI:1821019902
Name:BAFI, AMMAR S (MD)
Entity Type:Individual
Prefix:DR
First Name:AMMAR
Middle Name:S
Last Name:BAFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:SUITE 1E3
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2976
Mailing Address - Country:US
Mailing Address - Phone:202-291-1430
Mailing Address - Fax:202-231-1436
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:SUITE 1E3
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:202-291-1430
Practice Address - Fax:202-231-1436
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD19126208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0467260Medicaid
DCE77479Medicare UPIN
DC0467260Medicaid