Mashkuri, Javad Scott

Mashkuri, Javad Scott is an individual health care provider with primary practice located at 130 Fisher Rd Att: Central Vt Medical Center, Berlin VT 05602-9516. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mashkuri, Javad Scott can be contacted via phone (802) 371-4263.

Contact Information

Primary practice address
130 Fisher Rd Att: Central Vt Medical Center Berlin VT 05602-9516
Fax: (802) 371-4481
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X MD21838 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042.0012128 Vermont

Profile Details

NPI number 1518168814
LBN Legal business name Mashkuri, Javad Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated May 20th, 2014 - about 10 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 1518168814 NPPES
Vermont MEDICAID 1018668
Vermont MEDICAID 134264
Vermont Other 002503501

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