Individual
JAVAID AHMED SHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3923 WARING RD STE A, OCEANSIDE, CA 92056-4499
(760) 724-8782
(760) 842-7801
Mailing address
3923 WARING RD STE A, OCEANSIDE, CA 92056-4499
(760) 724-8782
(760) 842-7801
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G86962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G869620
—
CA
Enumeration date
03/14/2006
Last updated
02/25/2021
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