Dr. Sarfaraz Abdeali Jasdanwala
Internist Internist - Addiction Medicine
1091 Midway Dr
Linn Creek
, Missouri 65052-1687
Dr. Sarfaraz Abdeali Jasdanwala
Internist Internist - Addiction Medicine
1091 Midway Dr
Linn Creek
, Missouri 65052-1687
(660) 885-8131
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Sarfaraz Abdeali Jasdanwala
- 1800 Community
- Clinton, MO
- Zip : 64735-8804
- Phone : (660) 885-8131
Second Address
- Dr. Sarfaraz Abdeali Jasdanwala
- 1091 Midway Dr
- Linn Creek, MO
- Zip : 65052-1687
- Phone : (888) 403-1071
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2015021629 | MO |
| N | 111NI0900X | Internist | 2015021629 | MO |
| Y | 207RA0401X | Internist - Addiction Medicine | 2015021629 | MO |
National Provider Identifier
| NPI | 1851646665 |
|---|---|
| Provider Name | Dr. Sarfaraz Abdeali Jasdanwala |
| First Address | Clinton, MO 64735-8804 |
| Second Address | Linn Creek, MO 65052-1687 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2012 |
| Last Update Date | 08/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2015021629 | STATE LICENSE (01) | MO |
| 2500025774 | CDS (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.