Individual
DR. NAGA MANOHAR JAVVAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 S 38TH ST, SUITE A, MUSKOGEE, OK 74401
(918) 682-8631
Mailing address
333 SOUTH 38TH STR STE A, MUSKOGEE, OK 74401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18659
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
18659
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226510A
—
OK
01
—
P00182610
RAILROAD MEDICARE
OK
Enumeration date
03/14/2006
Last updated
07/01/2010
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