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NPI Code Detail

MEDICARE: MOHAMMAD JAFFERANY MD

MEDICARE: MOHAMMAD JAFFERANY MD
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
12084P0804XChild & Adolescent Psychiatry Physician4301091524MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811008139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD JAFFERANY MD
Provider Business Mailing Address
First Line : 1184 CLEAVER RD STE 1300
Second Line :
City : CARO
State : MI
Zip : 48723-1159
Country : US
Telephone Number : 989-286-3330
Fax Number : 989-286-3332
Provider Business Practice Location Address
First Line : 3201 HALLMARK CT
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2109
Country : US
Telephone Number : 989-746-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/15/2024

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Directions to “ MOHAMMAD JAFFERANY MD” Practice Location

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