Healthcare Provider Details
I. General information
NPI: 1851200919
Provider Name (Legal Business Name): ABU ZARYAAN JAVAID
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1055 BOSTON POST RD APT 32
WEST HAVEN CT
06516
US
IV. Provider business mailing address
1055 BOSTON POST RD APT 32
WEST HAVEN CT
06516
US
V. Phone/Fax
- Phone: 832-253-0951
- Fax:
- Phone: 832-253-0951
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: