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NPI Code Detail

MEDICARE: MOHAMMAD JAVED M.D

MEDICARE: MOHAMMAD JAVED M.D
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
12084P0800XPsychiatry Physician01066331AIN
22084P0800XPsychiatry Physician036096828IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093738296
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD JAVED M.D
Provider Business Mailing Address
First Line : 8400 LOUISIANA ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6385
Country : US
Telephone Number : 219-757-1928
Fax Number : 219-757-1950
Provider Business Practice Location Address
First Line : 8555 TAFT ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6123
Country : US
Telephone Number : 219-769-4005
Fax Number : 219-769-2508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 05/23/2011

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Directions to “ MOHAMMAD JAVED M.D” Practice Location

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