Provider Demographics
NPI:1972513562
Name:JAFRI, OBAID HASAN (MD)
Entity type:Individual
Prefix:
First Name:OBAID
Middle Name:HASAN
Last Name:JAFRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2408
Mailing Address - Country:US
Mailing Address - Phone:757-722-7401
Mailing Address - Fax:757-722-7404
Practice Address - Street 1:2117 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2408
Practice Address - Country:US
Practice Address - Phone:757-722-7401
Practice Address - Fax:757-722-7404
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238230207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009191M81Medicare PIN
I47142Medicare UPIN