Jasdanwala, Sarfaraz Abdeali

Jasdanwala, Sarfaraz Abdeali is an individual health care provider with primary practice located at 1003 Hauck Dr , Rolla MO 65401-2584. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Jasdanwala, Sarfaraz Abdeali can be contacted via phone (573) 247-1487.

Contact Information

Primary practice address
1003 Hauck Dr Rolla MO 65401-2584
Phone: (573) 247-1487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015021629 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.162657 Illinois
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 036.162657 Illinois
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 2015021629 Missouri

Profile Details

NPI number 1851646665
LBN Legal business name Jasdanwala, Sarfaraz Abdeali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851646665 NPPES
Illinois Other 036.162657 STATE LICENSE
Illinois Other 336.120566 STATE LICENSE
Illinois Other 036.162657 STATE LICENSE
Illinois Other C190524 STATE LICENSE
Illinois Other 2015021629 STATE LICENSE
Illinois Other 2500025774 STATE LICENSE

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