Provider Demographics
NPI:1043538218
Name:JAVED, SYED USSAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:USSAMA
Last Name:JAVED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 MEDICAL CIRCLE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852
Mailing Address - Country:US
Mailing Address - Phone:870-845-6050
Mailing Address - Fax:870-845-6055
Practice Address - Street 1:119 MEDICAL CIRCLE
Practice Address - Street 2:SUITE 1
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852
Practice Address - Country:US
Practice Address - Phone:870-845-6050
Practice Address - Fax:870-845-6055
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-8865207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program