Provider Demographics
NPI:1598714362
Name:JAVED, QAZI U (MD)
Entity Type:Individual
Prefix:
First Name:QAZI
Middle Name:U
Last Name:JAVED
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 1:3660 STONERIDGE RD
Mailing Address - Street 2:BUILDING F-101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-7760
Mailing Address - Country:US
Mailing Address - Phone:512-329-8222
Mailing Address - Fax:512-329-0087
Practice Address - Street 1:3660 STONERIDGE RD
Practice Address - Street 2:BUILDING F-101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7760
Practice Address - Country:US
Practice Address - Phone:512-329-8222
Practice Address - Fax:512-329-0087
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI487542084P0800X
IA371802084P0800X, 2084P0804X
TXP82572084P0804X, 2084P0800X
CAA1223122084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
BJ9563683OtherDEA NUMBER