Provider Demographics
NPI:1548098239
Name:MSAFIRI, MSEMA
Entity type:Individual
Prefix:MR
First Name:MSEMA
Middle Name:
Last Name:MSAFIRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 ARIES CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-5392
Mailing Address - Country:US
Mailing Address - Phone:616-965-5985
Mailing Address - Fax:
Practice Address - Street 1:579 ARIES CT
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-5392
Practice Address - Country:US
Practice Address - Phone:616-965-5985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty