1689767832 NPI number — MUHAMMAD R. JAVED MD PC

Table of content: (NPI 1689767832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689767832 NPI number — MUHAMMAD R. JAVED MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MUHAMMAD R. JAVED MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MERIT MEDICAL GROUP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689767832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 900
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHLANDS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24641-0900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-964-9102
Provider Business Mailing Address Fax Number:
276-963-2865

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6719 GOVERNOR G.C. PEERY HIGHWAY
Provider Second Line Business Practice Location Address:
SUITE 3100
Provider Business Practice Location Address City Name:
RICHLANDS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24641-2055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-964-9102
Provider Business Practice Location Address Fax Number:
276-963-2865
Provider Enumeration Date:
10/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JAVED
Authorized Official First Name:
MUHAMMAD
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
276-964-9102

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)