Provider Demographics
NPI:1013110881
Name:JAFFRANI, WASEEM MUHAMMAD (MD)
Entity Type:Individual
Prefix:MR
First Name:WASEEM
Middle Name:MUHAMMAD
Last Name:JAFFRANI
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 1:124 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-9721
Mailing Address - Country:US
Mailing Address - Phone:985-892-9233
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL PKWY STE 103
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7830
Practice Address - Country:US
Practice Address - Phone:972-488-9656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5086207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346861303Medicaid
LA4N228Medicare PIN