Provider Demographics
NPI:1912195835
Name:JAFRI, KAMRAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:S
Last Name:JAFRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:693 5TH AVE FL 14
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3161
Mailing Address - Country:US
Mailing Address - Phone:646-626-4235
Mailing Address - Fax:646-626-4235
Practice Address - Street 1:317 E 34TH ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4974
Practice Address - Country:US
Practice Address - Phone:212-726-7499
Practice Address - Fax:212-209-3299
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220892207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02288957Medicaid
NYA400092777Medicare PIN