Organization
MADERA PULMONARY AND SLEEP DISORDERS CENTER A MEDICAL CORPORA
Active
Organization
MADERA PULMONARY AND SLEEP DISORDERS CENTER A MEDICAL CORPORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZHAR JAVAID M D (CEO)
(559) 673-9021
Entity
Organization
Contact information
Practice address
1280 E ALMOND AVE, MADERA, CA 93637-5606
(559) 673-9021
(559) 673-6234
Mailing address
1280 E ALMOND AVE, MADERA, CA 93637-5606
(559) 673-9021
(559) 673-6234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A38439
CA
207R00000X
Internal Medicine Physician
A63120
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A63120
CA
207RP1001X
Pulmonary Disease Physician
A38439
CA
207RP1001X
Pulmonary Disease Physician
A63120
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A38439
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A63120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089460
—
CA
05
—
GR0089462
—
CA
Enumeration date
07/09/2006
Last updated
12/24/2019
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