Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 01083146A | IN |
Y | 207RG0100X | Gastroenterologist | 430162463 | MI |
NPI | 1043387566 |
---|---|
Provider Name | Dr. Salim A Jaffer |
First Address | Lansing, MI 48911-4265 |
Second Address | Lansing, MI 48911-4265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 09/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4642226 | (05) | MI |
G62071 | (02) |