MEDICARE: DR. SEAN P JAVAHERI D.O.

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	207RI0011X	Interventional Cardiology Physician	63872	GA
2	207RC0000X	Cardiovascular Disease Physician	OP60434764	WA
3	207RI0011X	Interventional Cardiology Physician	OP60434764	WA
4	207RC0000X	Cardiovascular Disease Physician	83041	SC
5	207RI0011X	Interventional Cardiology Physician	83041	SC
6	207RC0000X	Cardiovascular Disease Physician	63872	GA

General Provider Information

NPI Number	:	1982677605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN P JAVAHERI D.O.

Provider Business Mailing Address
First Line	:	4630 HWY 17 BYPASS S
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576
Country	:	US
Telephone Number	:	843-357-2299
Fax Number	:	843-357-2720

Provider Business Practice Location Address
First Line	:	1120 15TH ST
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30912-2603
Country	:	US
Telephone Number	:	706-724-6100
Fax Number	:

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/18/2026

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