Individual
JAVAIRIAH FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 GERMANTOWN RD STE 101, DANBURY, CT 06810-4087
(507) 250-5160
Mailing address
7841 MONTVALE WAY, MC LEAN, VA 22102-2030
(507) 250-5160
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51906
MN
2086S0129X
Vascular Surgery Physician
Primary
80892
CT
2086S0129X
Vascular Surgery Physician
ME118845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012132000
—
FL
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/13/2007
Last updated
04/29/2025
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