Provider Demographics
NPI:1265173876
Name:CUFF, JASON SHAHID SR
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:SHAHID
Last Name:CUFF
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 COMRADE LN
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-4694
Mailing Address - Country:US
Mailing Address - Phone:267-701-4123
Mailing Address - Fax:
Practice Address - Street 1:7509 COMRADE LN
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4694
Practice Address - Country:US
Practice Address - Phone:267-701-4123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator