Individual
DR. FAHAD JAVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
601 RIVER POINTE DR STE 105, CONROE, TX 77304-2943
(936) 539-5577
(936) 539-5550
Mailing address
4215 15TH ST, GULFPORT, MS 39501-2523
(228) 863-5211
(228) 863-4101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266935
NY
207RI0011X
Interventional Cardiology Physician
26033
MS
207RI0011X
Interventional Cardiology Physician
DR.0062918
CO
207RI0011X
Interventional Cardiology Physician
MD.206853
LA
207RI0011X
Interventional Cardiology Physician
Primary
S0909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-12343
LICENSE
AR
Enumeration date
08/27/2010
Last updated
06/03/2024
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