Individual
SANAZ JAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45509
TX
208600000X
Surgery Physician
BP10034437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360865501
—
TX
01
—
360865502
CSHCN TPI
TX
01
—
8GB531
BCBS
TX
Enumeration date
06/07/2010
Last updated
08/10/2020
Update your record
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