Provider Demographics
NPI:1912999426
Name:JAFAR, AMAN ALI (MD)
Entity Type:Individual
Prefix:
First Name:AMAN
Middle Name:ALI
Last Name:JAFAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AMAN
Other - Middle Name:ALI
Other - Last Name:JAFAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:3531 TOWN CENTER BLVD S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2591
Mailing Address - Country:US
Mailing Address - Phone:281-491-3225
Mailing Address - Fax:281-491-1702
Practice Address - Street 1:3531 TOWN CENTER BLVD S
Practice Address - Street 2:SUITE 101
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2591
Practice Address - Country:US
Practice Address - Phone:281-491-3225
Practice Address - Fax:281-491-1702
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0840207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1157OtherMEDICARE NUMBER IND
TX8F1157OtherMEDICARE NUMBER IND