Individual
BUSHRA JAVED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1520 SUNDAY DR, RALEIGH, NC 27607-5253
(919) 782-3456
(919) 783-1441
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2016-01030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629322987
—
NC
01
—
19KLR
BCBSNC
NC
Enumeration date
11/07/2012
Last updated
04/26/2023
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