Provider Demographics
NPI:1679886618
Name:JAVAID, MARIA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:JAVAID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 WESTERN AVE STE 305B
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-4982
Mailing Address - Country:US
Mailing Address - Phone:501-205-4990
Mailing Address - Fax:501-205-4993
Practice Address - Street 1:525 WESTERN AVE STE 305B
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4982
Practice Address - Country:US
Practice Address - Phone:501-205-4990
Practice Address - Fax:501-205-4993
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-15014207RE0101X
NC2020-03129207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism