Provider Demographics
NPI:1851016281
Name:FAFAJ, XHULIANA (PA)
Entity Type:Individual
Prefix:
First Name:XHULIANA
Middle Name:
Last Name:FAFAJ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2332 ALLISON RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3623
Mailing Address - Country:US
Mailing Address - Phone:267-283-6467
Mailing Address - Fax:
Practice Address - Street 1:2332 ALLISON RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3623
Practice Address - Country:US
Practice Address - Phone:267-283-6467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical