Healthcare Provider Details

I. General information

NPI: 1114963626
Provider Name (Legal Business Name): SHEERIN JAVED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 STANTON CHRISTIANA RD SUITE 212
NEWARK DE
19713-2146
US

IV. Provider business mailing address

537 STANTON CHRISTIANA RD SUITE 212
NEWARK DE
19713-2146
US

V. Phone/Fax

Practice location:
  • Phone: 302-633-9033
  • Fax: 302-633-9032
Mailing address:
  • Phone: 302-633-9033
  • Fax: 302-633-9032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberC10005112
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: