MEDICARE: JAFARA BRAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372500000X	Chore Provider

General Provider Information

NPI Number	:	1790535326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAFARA BRAND

Provider Business Mailing Address
First Line	:	1339 BUCKINGHAM AVE
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-3315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 E FOREST AVE APT 1010
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-1873
Country	:	US
Telephone Number	:	770-744-9070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	03/26/2024

Similar Medicare Providers

1922668615 — MS. SIERRA DARNETTA LUCKEY AS IN HHS
Practice Location Address:

12606 ELMDALE ST
DETROIT, MI
48213-1873

Practice Phone: 313-449-7136
Practice Fax:

1457733131 — LAUREN SALL M.D.
Practice Location Address:

3990 JOHN R ST
DETROIT, MI
48201-2018

Practice Phone: 313-745-7514
Practice Fax: 313-745-1873

1306382676 — MR. FRANKIE LEE HAWKINS CPSS
Practice Location Address:

10 PETERBORO ST
DETROIT, MI
48201-2722

Practice Phone: 313-831-3160
Practice Fax: 313-831-8787

1992325583 — AMANDA ROMERO MD
Practice Location Address:

4201 SAINT ANTOINE ST STE 9C
DETROIT, MI
48201-2153

Practice Phone: 313-577-5009
Practice Fax:

1750654695 — KELLY ANN KEENER
Practice Location Address:

3950 BEAUBIEN BLVD
DETROIT, MI
48201

Practice Phone: 313-832-9262
Practice Fax:

1508700428 — DR. SAPNA CHANDRAN M.D.
Practice Location Address:

4160 JOHN R, SUITE 615 , HARPER PROFESSIONAL BUILDING, DEPARTMENT OF SURGERY
DETROIT, MI
48201

Practice Phone: 313-745-4195
Practice Fax: 313-993-8669

Directions to “ JAFARA BRAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.