Individual
LAILA JAVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-0697
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
271926
NY
207R00000X
Internal Medicine Physician
A145519
CA
208M00000X
Hospitalist Physician
Primary
A145519
CA
Other
Enumeration date
09/17/2013
Last updated
03/17/2018
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