Provider Demographics
NPI:1891063020
Name:JAVAHERI, ZAMAN (MD)
Entity Type:Individual
Prefix:
First Name:ZAMAN
Middle Name:
Last Name:JAVAHERI
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 1:14561 CURRY CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-8488
Mailing Address - Country:US
Mailing Address - Phone:949-290-8546
Mailing Address - Fax:
Practice Address - Street 1:14561 CURRY CT
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-8488
Practice Address - Country:US
Practice Address - Phone:949-290-8546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444630208D00000X, 207UN0902X
AZ45712208D00000X
FLME124598208D00000X
MI4301100744208D00000X
UT8196317-1205208D00000X
VA0101252052208D00000X
OH35.125025208D00000X
NY268257208D00000X
WAMD60267437208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy