Mannan, Javed

Mannan, Javed is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Mannan, Javed can be contacted via phone (508) 334-6206.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Fax: (508) 334-6083
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 270317 Massachusetts
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 270317 Massachusetts

Profile Details

NPI number 1548558786
LBN Legal business name Mannan, Javed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2011
Last updated Nov 16th, 2020 - about 4 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 1548558786 NPPES
Massachusetts Other S400400203 MEDICARE

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