Provider Demographics
NPI:1487231239
Name:JAFERI, UROOJ (MD)
Entity type:Individual
Prefix:
First Name:UROOJ
Middle Name:
Last Name:JAFERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W HIGH ST STE 314
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-8617
Mailing Address - Country:US
Mailing Address - Phone:410-620-0545
Mailing Address - Fax:410-398-8469
Practice Address - Street 1:111 W HIGH ST STE 314
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-8617
Practice Address - Country:US
Practice Address - Phone:410-620-0545
Practice Address - Fax:410-398-8469
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10026912207Q00000X
390200000X
MD13687207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program