MEDICARE: DR. MADIHA JAVED M.D.

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	207L00000X	Anesthesiology Physician	195822	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477597243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADIHA JAVED M.D.

Provider Business Mailing Address
First Line	:	894 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-3913
Country	:	US
Telephone Number	:	718-222-5999
Fax Number	:	718-387-6429

Provider Business Practice Location Address
First Line	:	1224 8TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5106
Country	:	US
Telephone Number	:	732-492-7936
Fax Number	:	718-387-6429

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	05/15/2024

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