Individual
MR. JAWED M MOVANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2604
(270) 351-3192
(270) 351-5499
Mailing address
1321 RING RD, STE 105, ELIZABETHTOWN, KY 42701-8940
(270) 986-7373
(270) 351-5499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31578
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
31578
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64315781
—
KY
Enumeration date
07/12/2005
Last updated
04/26/2017
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