Individual
DR. NUSRAT JAVAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN - GROUND FL, DETROIT, MI 48201-2119
(313) 745-5260
(313) 966-0665
Mailing address
UNIVERSITY PEDIATRICIANS, 4201 ST. ANTOINE - UHC 5D MAILBOX 226, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301056997
MI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301056997
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
4301056997
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51090
BLUE SHIELD
MI
05
—
4434887
—
MI
Enumeration date
10/12/2006
Last updated
03/17/2018
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