MEDICARE: MR. IRFAN JAWED MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	0436856	KS
2	207RH0003X	Hematology & Oncology Physician	P7132	TX

General Provider Information

NPI Number	:	1356508501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. IRFAN JAWED MD

Provider Business Mailing Address
First Line	:	13310 BEAMER RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6045
Country	:	US
Telephone Number	:	832-879-2942
Fax Number	:	832-962-4937

Provider Business Practice Location Address
First Line	:	13310 BEAMER RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6045
Country	:	US
Telephone Number	:	832-879-2942
Fax Number	:	832-962-4937

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	08/07/2023

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