Jawad, Evyan
Jawad, Evyan is an sole proprietor health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Jawad, Evyan can be contacted via phone (765) 775-2800.Contact Information
Primary practice address
3900 St Francis Way Ste 200
Lafayette IN 47905-4940
Phone: (765) 775-2800
Fax: (765) 775-2831
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036099316 | Illinois |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036099316 | Illinois |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01083460A | Indiana |
Profile Details
NPI number | 1740443506 |
---|---|
LBN Legal business name | Jawad, Evyan |
Credentials | MB,CHB |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2008 |
Last updated | Oct 3rd, 2023 - about last year |
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 | 1740443506 | NPPES |
Illinois | MEDICAID | 036099316 | |
Illinois | Other | F400322595 |
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