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NPI Code Detail

MEDICARE: DR. JAVAD KARDAN M.D.

MEDICARE:  DR. JAVAD  KARDAN  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
1207RG0100XGastroenterology Physician35.044228OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10472948OTHEROHMEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number : 1801871157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAVAD KARDAN M.D.
Provider Business Mailing Address
First Line : 75 SYLVANIA DR
Second Line :
City : DAYTON
State : OH
Zip : 45440-3237
Country : US
Telephone Number : 937-320-5050
Fax Number : 937-320-5060
Provider Business Practice Location Address
First Line : 75 SYLVANIA DR
Second Line :
City : DAYTON
State : OH
Zip : 45440-3237
Country : US
Telephone Number : 937-320-5050
Fax Number : 937-320-5060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 09/17/2013

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Directions to “ DR. JAVAD KARDAN M.D.” Practice Location

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