Individual
SHAHID JAVAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 SW H K DODGEN LOOP BLDG 300, TEMPLE, TX 76502-1814
(254) 724-5437
(254) 724-7597
Mailing address
PO BOX 844658, DALLAS, TX 75284-4568
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
37815
OK
2080P0206X
Pediatric Gastroenterology Physician
Primary
R6026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001008818
ANTHEM
IN
05
—
201355460
—
IN
Enumeration date
08/15/2013
Last updated
08/04/2022
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