Healthcare Provider Details

I. General information

NPI: 1205976602
Provider Name (Legal Business Name): ARJUMAND JAFFRI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S 169 HWY
SMITHVILLE MO
64089
US

IV. Provider business mailing address

901 E 104TH ST MAILSTOP 400S
KANSAS CITY MO
64131
US

V. Phone/Fax

Practice location:
  • Phone: 816-532-3700
  • Fax: 816-932-7957
Mailing address:
  • Phone: 816-502-7117
  • Fax: 816-932-9670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2001019656
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: