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General NPI Number Information
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NPI Number | 1407237605
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Entity Type | Individual
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Provider Name | SYED SADIQ MOHAMMED JAFRI D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 23050 WEST RD STE 120
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-1470
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Country | US
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Telephone | 734-287-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 BIDDLE AVE
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City | WYANDOTTE
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State | MI
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Zip | 48192-4668
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Country | US
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Telephone | 734-686-6337
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Fax | 734-246-6069
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101021841
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 5101021841
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License Number State | MI
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