Provider Demographics
NPI:1376798884
Name:JAVED, REHANA HAQ (MD)
Entity Type:Individual
Prefix:
First Name:REHANA
Middle Name:HAQ
Last Name:JAVED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6105 N MAJOR DR APT 810
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-4229
Mailing Address - Country:US
Mailing Address - Phone:225-276-9901
Mailing Address - Fax:225-276-9901
Practice Address - Street 1:CHRISTUS HOSPITAL 2830 CALDER ST.
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:409-923-1626
Practice Address - Fax:409-923-1626
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3757207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology