Provider Demographics
NPI:1568789659
Name:JAVED, MUHAMMAD A (MPHARM)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:A
Last Name:JAVED
Suffix:
Gender:M
Credentials:MPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CRANBERRY CT
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-5151
Mailing Address - Country:US
Mailing Address - Phone:914-734-1175
Mailing Address - Fax:212-568-1752
Practice Address - Street 1:1654-ST.NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040
Practice Address - Country:US
Practice Address - Phone:212-568-4000
Practice Address - Fax:212-568-1752
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist