Fatima, Javairiah

Fatima, Javairiah is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100128, Gainesville FL 32610-0128. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Fatima, Javairiah can be contacted via phone (352) 265-7922.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100128 Gainesville FL 32610-0128
Phone: (352) 265-7922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 51906 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME118845 Florida

Profile Details

NPI number 1801090964
LBN Legal business name Fatima, Javairiah
Credentials M.B.B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Aug 20th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801090964 NPPES
Florida MEDICAID 012132000
Florida MEDICAID ENROLLED
Florida MEDICAID ENROLLED

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