Jaffan, Abdel Aziz Ahmad
Jaffan, Abdel Aziz Ahmad is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Jaffan, Abdel Aziz Ahmad can be contacted via phone (262) 329-1000.Contact Information
Primary practice address
975 Port Washington Rd
Grafton WI 53024-9204
Phone: (262) 329-1000
Fax: (262) 329-1001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 64340-20 | Wisconsin |
Profile Details
NPI number | 1871799304 |
---|---|
LBN Legal business name | Jaffan, Abdel Aziz Ahmad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2007 |
Last updated | Aug 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871799304 | NPPES |
Wisconsin | MEDICAID | 100025682 |
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