Javed, Mohammad Ali

Javed, Mohammad Ali is an individual health care provider with primary practice located at 12303 De Paul Dr , Bridgeton MO 63044-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Javed, Mohammad Ali can be contacted via phone (314) 344-6000.

Contact Information

Primary practice address
12303 De Paul Dr Bridgeton MO 63044-2512
Phone: (314) 344-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MB09792800 New Jersey
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2021031240 Missouri

Profile Details

NPI number 1215280490
LBN Legal business name Javed, Mohammad Ali
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2012
Last updated Aug 5th, 2021 - about 3 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 1215280490 NPPES
New Jersey MEDICAID 0635596

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