Provider Demographics
NPI:1760262406
Name:JAVERI, POOJA DILIP (PA-C)
Entity Type:Individual
Prefix:
First Name:POOJA
Middle Name:DILIP
Last Name:JAVERI
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 MURPHY CT APT 813
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2046
Mailing Address - Country:US
Mailing Address - Phone:912-245-5156
Mailing Address - Fax:
Practice Address - Street 1:110 MURPHY CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2019
Practice Address - Country:US
Practice Address - Phone:912-245-5156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant