Individual
MUHAMMAD ALI JAVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. FCCP
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6486
(314) 251-4155
Mailing address
625 S NEW BALLAS RD STE 7020, SAINT LOUIS, MO 63141-8218
(314) 251-6486
(314) 251-4155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007008275
MO
207R00000X
Internal Medicine Physician
MT 183879
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2009033374
MO
207RP1001X
Pulmonary Disease Physician
2009033374
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275741340
—
MO
01
—
431560263
TRICARE WEST
—
01
—
P00859524
RAILROAD MEDICARE
—
01
—
P01272312
RAILROAD MEDICARE
MO
Enumeration date
05/20/2007
Last updated
07/21/2022
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