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Individual

MOHAMMAD JAVED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
(219) 769-2508
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01066331A
IN
2084P0800X
Psychiatry Physician
036096828
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200938680
IN
Enumeration date
07/26/2006
Last updated
05/23/2011
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