Provider Demographics
NPI:1598598377
Name:KAFLEY, PUSPA RAJ
Entity type:Individual
Prefix:
First Name:PUSPA
Middle Name:RAJ
Last Name:KAFLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8534 CHERRY HILL PL
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44514-3289
Mailing Address - Country:US
Mailing Address - Phone:520-339-9488
Mailing Address - Fax:
Practice Address - Street 1:8534 CHERRY HILL PL
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-3289
Practice Address - Country:US
Practice Address - Phone:520-339-9488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide