MEDICARE: DR. CAMERON G JAVID 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
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	27248	AZ

General Provider Information

NPI Number	:	1518960632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAMERON G JAVID M.D.

Provider Business Mailing Address
First Line	:	6561 E CARONDELET DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2156
Country	:	US
Telephone Number	:	520-886-2597
Fax Number	:	520-886-6639

Provider Business Practice Location Address
First Line	:	6561 E CARONDELET DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2156
Country	:	US
Telephone Number	:	520-886-2597
Fax Number	:	520-886-6639

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/05/2017

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