Provider Demographics
NPI:1992707772
Name:KAFITY, ALFRED A (DO)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:A
Last Name:KAFITY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 BENEDICT AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2712
Mailing Address - Country:US
Mailing Address - Phone:419-663-8061
Mailing Address - Fax:419-668-2446
Practice Address - Street 1:282 BENEDICT AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2712
Practice Address - Country:US
Practice Address - Phone:419-663-8061
Practice Address - Fax:419-668-2446
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004234207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH47366219012OtherMEDICAL MUTUAL OF OHIO
OH000000327362OtherANTHEM
OH0657276Medicaid
OH0672566Medicare PIN
OH0657276Medicaid