Healthcare Provider Details

I. General information

NPI: 1598025884
Provider Name (Legal Business Name): KASHIF ALI JAFRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW STE 500
ATLANTA GA
30318-2594
US

IV. Provider business mailing address

PO BOX 102321
ATLANTA GA
30368-2321
US

V. Phone/Fax

Practice location:
  • Phone: 404-367-3350
  • Fax:
Mailing address:
  • Phone: 770-801-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number85451
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number138633
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: