MEDICARE: MUHAMMAD HAARIS JAVAID MD

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
1	207R00000X	Internal Medicine Physician	01093027A	IN
2	208M00000X	Hospitalist Physician	C3926	KY
3	207R00000X	Internal Medicine Physician	C3926	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1184204406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD HAARIS JAVAID MD

Provider Business Mailing Address
First Line	:	9510 TRUSCOTT CT
Second Line	:
City	:	PROSPECT
State	:	KY
Zip	:	40059-7661
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 ROSE ST
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40536-1042
Country	:	US
Telephone Number	:	859-323-6047
Fax Number	:	859-257-3873

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	05/18/2026

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