Individual
DR. JAVAID M BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 4TH ST, MULTIPLE OFFICE LOCATIONS, JACKSON, MI 49203-3060
(517) 392-1651
(734) 484-0529
Mailing address
1034 4TH ST, JACKSON, MI 49203-3060
(517) 392-1651
(734) 484-0529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301047107
MI
207R00000X
Internal Medicine Physician
4301047107
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301047107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4374715-10
—
MI
Enumeration date
07/25/2006
Last updated
01/29/2010
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