Provider Demographics
NPI:1194394684
Name:JAVAID, FAZEEL (MD)
Entity Type:Individual
Prefix:
First Name:FAZEEL
Middle Name:
Last Name:JAVAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54-X, HOUSING COLONY
Mailing Address - Street 2:COLLEGE ROAD
Mailing Address - City:LAYYAH
Mailing Address - State:PUNJAB
Mailing Address - Zip Code:31200
Mailing Address - Country:PK
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DEP OF INTERNAL MEDICINE LINCOLN MEDICAL
Practice Address - Street 2:CENTER, SUITE 8-20 234 E 149TH STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program