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NPI Code Detail

MEDICARE: AHSAN QAYYUM JAFIR DO

MEDICARE: AHSAN QAYYUM JAFIR DO
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
1207R00000XInternal Medicine PhysicianDO34239DC
2207RC0000XCardiovascular Disease Physician0102203102VA

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 : 1942489638
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHSAN QAYYUM JAFIR DO
Provider Business Mailing Address
First Line : 8569 SUDLEY RD STE B
Second Line :
City : MANASSAS
State : VA
Zip : 20110-3866
Country : US
Telephone Number : 703-369-5959
Fax Number :
Provider Business Practice Location Address
First Line : 8569 SUDLEY RD STE B
Second Line :
City : MANASSAS
State : VA
Zip : 20110-3866
Country : US
Telephone Number : 703-369-5959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2007
Last Update Date : 10/25/2020

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Directions to “ AHSAN QAYYUM JAFIR DO” Practice Location

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