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Contact Information

JAAFAR BERMANI, MD
129 N 8TH ST
EAST SAINT LOUIS, IL62201
 Phone: 618-482-7242
 Fax: 314-810-1399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JAAFAR BERMANI · (Male)

NPI # 1699779033
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2005
Last updated 06/08/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A29471
  • IL License # 036052408
  • IL Medicaid 036052408
Hospital affiliation(s)
  • PALO VERDE HOSPITAL - (Acute Care)
    250 NORTH FIRST STREET
    BLYTHE, CA 92225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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