Individual
DR. JAVAD SHIRVANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(201) 858-6594
(201) 716-3951
Mailing address
76 HIGH ST, LEWISTON, ME 04240-7649
(207) 795-2800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P112353
NYS EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS
NY
Enumeration date
10/22/2021
Last updated
06/25/2025
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