Provider Demographics
NPI:1508406497
Name:KAFIFAR, HAMED P (PT)
Entity Type:Individual
Prefix:MR
First Name:HAMED
Middle Name:P
Last Name:KAFIFAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:5576 WHITE HALL CIR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3465
Mailing Address - Country:US
Mailing Address - Phone:248-613-9751
Mailing Address - Fax:248-865-9438
Practice Address - Street 1:1715 NORTHFIELD DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3819
Practice Address - Country:US
Practice Address - Phone:248-293-2400
Practice Address - Fax:248-293-2440
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI55010053452251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics