Shahina H Jafry MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036105570 Issued in IL

Legal business name

SHAHINA H JAFRY MD SC

Practice address

6078 Palo Verde Dr
Rockford, IL 61114

Phone

(815) 398-9360

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter E Smith

Title

Credentialing Agent

Phone

(815) 965-8505

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1760575914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 FOREST VIEW AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61108",
            "telephone_number": "815-965-8505",
            "fax_number": "815-965-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6078 PALO VERDE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61114",
            "telephone_number": "815-398-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHINA H JAFRY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036105570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prakriti Shah, D.O.
• Prayag D Shah, OD
• Setu Shah
• Shefali Bipin Shah, D.M.D.
• Sudha P Shah, MD
• Faizan Shakeel
• Shammah Health Care Services, Inc
• Shafay Muhammad Shams, MD
• Tonya Shanks
• Raju M Shanmugam, MD

• Psychiatry Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.