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Individual

JAVAD KHALILZADEH

Active
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Individual

JAVAD KHALILZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD30763
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017601000
MARYLAND MEDICAID
MD
05
032967300
DC
01
110217219
RAILROAD MEDICARE
DC
01
292374
MAMSI
DC
01
F195
BCBS
DC
Enumeration date
12/14/2005
Last updated
12/15/2009
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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