Healthcare Provider Details

I. General information

NPI: 1568318780
Provider Name (Legal Business Name): JAVID MEDICAL PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JOSE FIGUERES AVE STE 320
SAN JOSE CA
95116-1590
US

IV. Provider business mailing address

200 JOSE FIGUERES AVE STE 320
SAN JOSE CA
95116-1590
US

V. Phone/Fax

Practice location:
  • Phone: 408-251-6748
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MUZAMMIL JAVID
Title or Position: OWNER
Credential:
Phone: 408-251-6748