Javvaji, Naga Manohar
Javvaji, Naga Manohar is an individual health care provider with primary practice located at 333 S 38Th St Suite A, Muskogee OK 74401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Javvaji, Naga Manohar can be contacted via phone (918) 682-8631.Contact Information
Primary practice address
333 S 38Th St Suite A
Muskogee OK 74401
Phone: (918) 682-8631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18659 | Oklahoma |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 18659 | Oklahoma |
Profile Details
| NPI number | 1043288194 |
|---|---|
| LBN Legal business name | Javvaji, Naga Manohar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 1st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043288194 | NPPES |
| Oklahoma | Other | P00182610 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100226510A | RAILROAD MEDICARE |
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