Individual
JAVED ZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18711-3539
(570) 808-7399
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301057371
MI
207R00000X
Internal Medicine Physician
MD462472
PA
208M00000X
Hospitalist Physician
Primary
MD462472
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4859888
—
MI
01
—
JZ057371
BCBSM
MI
Enumeration date
09/07/2005
Last updated
11/06/2019
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