Provider Demographics
NPI:1912183443
Name:JAFRI, SYED MOHAMMAD AKBAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:MOHAMMAD AKBAR
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 1:3002 MOUNT OLIVE DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3016
Mailing Address - Country:US
Mailing Address - Phone:404-217-5762
Mailing Address - Fax:
Practice Address - Street 1:3002 MOUNT OLIVE DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3016
Practice Address - Country:US
Practice Address - Phone:404-217-5762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002603208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology