Javaid, Nusrat

Javaid, Nusrat is an individual health care provider with primary practice located at Children'S Hospital Of Mi 3901 Beaubien - Ground Fl, Detroit MI 48201-2119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Javaid, Nusrat can be contacted via phone (313) 745-5260.

Contact Information

Primary practice address
Children'S Hospital Of Mi 3901 Beaubien - Ground Fl Detroit MI 48201-2119
Phone: (313) 745-5260
Fax: (313) 966-0665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301056997 Michigan
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 4301056997 Michigan
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 4301056997 Michigan

Profile Details

NPI number 1063501591
LBN Legal business name Javaid, Nusrat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 17th, 2018 - about 6 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 1063501591 NPPES
Michigan Other 0B51090 BLUE SHIELD
Michigan MEDICAID 4434887 BLUE SHIELD

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