Basic Information
| Provider Information | |||||||||
| NPI: | 1326465725 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JAFFER | ||||||||
| FirstName: | HAYDER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 E 89TH AVE STE 3A | ||||||||
| Address2: | |||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464107319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2197562900 | ||||||||
| FaxNumber: | 2197562910 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 E 89TH AVE STE 3A | ||||||||
| Address2: | |||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464107319 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2197562900 | ||||||||
| FaxNumber: | 2197562910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2014 | ||||||||
| LastUpdateDate: | 03/21/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 01077298A | IN | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.