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1679886618 NPI number — MARIA JAVAID M.D.

NPI Number: 1679886618
Health Care Provider/Practitioner: MARIA JAVAID M.D.

Information about “1679886618” NPI (MARIA JAVAID M.D.) exists in 1679886618 in HTML format HTML  |  1679886618 in plain Text format TXT  |  1679886618 in PDF (Portable Document Format) PDF  |  1679886618 in an XML format XML  formats.

NPI Number : 1679886618 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679886618",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JAVAID",
    "FirstName": "MARIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "525 WESTERN AVE STE 305B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONWAY",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72034-4982",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-205-4990",
    "MailingAddressFaxNumber": "501-205-4993",
    "FirstLinePracticeLocationAddress": "525 WESTERN AVE STE 305B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONWAY",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72034-4982",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-205-4990",
    "PracticeLocationAddressFaxNumber": "501-205-4993",
    "EnumerationDate": "07/20/2010",
    "LastUpdateDate": "10/10/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RE0101X",
        "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
        "LicenseNumber": "E-15014",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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