Provider Demographics
NPI:1720783756
Name:DJALAL, ARAFA ALI (MD)
Entity Type:Individual
Prefix:MRS
First Name:ARAFA
Middle Name:ALI
Last Name:DJALAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 PROULX ST
Mailing Address - Street 2:
Mailing Address - City:LASALLE
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H8N1J7
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1468 MADISON AVENUE
Practice Address - Street 2:ANNENBERG BUILDING, 5TH FL SUITE 5-12
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-8788
Practice Address - Fax:646-537-8647
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program