Provider Demographics
NPI:1376763052
Name:JAVID, ZEESHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEESHAN
Middle Name:
Last Name:JAVID
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:PO BOX 1830
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-1830
Mailing Address - Country:US
Mailing Address - Phone:484-862-3193
Mailing Address - Fax:484-664-7659
Practice Address - Street 1:1259 S CEDAR CREST BLVD STE 230
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:610-402-5900
Practice Address - Fax:610-402-4650
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT1886562084P0800X
PAMD4351052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry