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
Phone: (508) 334-6206
Fax: (508) 334-6083
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548558786 | NPPES |
Massachusetts | Other | S400400203 | MEDICARE |
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