Individual
JAVAID H WANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2544 COURT DR STE A, GASTONIA, NC 28054-3450
(704) 671-6400
(704) 671-6449
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.201571
LA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2019-02718
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
32116
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002682
—
LA
05
—
321164
—
SC
Enumeration date
09/04/2007
Last updated
07/27/2022
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