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Dr. Sarfaraz Abdeali Jasdanwala, MD
Addiction Medicine (Internal Medicine) Physician in Rolla, Missouri
NPI 1851646665

Sarfaraz Abdeali Jasdanwala is an Addiction Medicine (Internal Medicine) Physician based in Rolla, MO and is specialized in Addiction Medicine. Sarfaraz Abdeali Jasdanwala practices in Rolla, MO and has the professional credentials of MD. The NPI Number for Sarfaraz Abdeali Jasdanwala is 1851646665 and holds a License No. 2015021629 (Missouri).

The current practice location address for Sarfaraz Abdeali Jasdanwala is 1003 Hauck Dr, Rolla, MO and can be reached out via phone at 573-247-1487.

Location: 1003 Hauck Dr, Rolla, MO, 65401-2584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851646665
Provider Name
Sarfaraz Abdeali Jasdanwala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1003 Hauck Dr, Rolla, MO, 65401-2584
Phone Number
573-247-1487
Fax Number
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036.162657 01 IL STATE LICENSE
336.120566 01 IL LICENSED PHYSICIAN CONTROLLED SUBSTANCE
036.162657 01 IL LICENSED PHYSICIAN CONTROLLED SUBSTANCE
C190524 01 CA STATE LICENSE
2015021629 01 MO STATE LICENSE
2500025774 01 MO CDS
institution
Provider Business Practice Location Address Details
Address
1003 Hauck Dr
City
Rolla
State
Missouri
Zip
65401-2584
Phone Number
573-247-1487
Fax Number
person
Provider Business Mailing Address Details
Address
1003 Hauck Dr
City
Rolla
State
Missouri
Zip
65401-2584
Phone Number
573-247-1487
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036.162657 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
2015021629 (Missouri)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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