Provider Demographics
NPI:1780618702
Name:GILANI, M JAVED (MD)
Entity type:Individual
Prefix:DR
First Name:M
Middle Name:JAVED
Last Name:GILANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1309 VEALE RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4609
Mailing Address - Country:US
Mailing Address - Phone:302-478-7160
Mailing Address - Fax:302-478-7716
Practice Address - Street 1:1309 VEALE RD
Practice Address - Street 2:SUITE 11
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4609
Practice Address - Country:US
Practice Address - Phone:302-478-7160
Practice Address - Fax:302-478-7716
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC10001737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000748602Medicaid
DE1780618702Medicaid
DE1780618702Medicaid
DE0000748602Medicaid