Abdullah, Javed

Abdullah, Javed is an individual health care provider with primary practice located at 4250 Bethel Rd 5Th Floor, Olive Branch MS 38654-8737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Abdullah, Javed can be contacted via phone (901) 763-0200.

Contact Information

Primary practice address
4250 Bethel Rd 5Th Floor Olive Branch MS 38654-8737
Phone: (901) 763-0200
Fax: (901) 761-4002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 50265 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 23973 Mississippi

Profile Details

NPI number 1184801367
LBN Legal business name Abdullah, Javed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2008
Last updated Oct 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184801367 NPPES
Tennessee Other 6041886 BCBS
Tennessee MEDICAID 06926726 BCBS
Tennessee MEDICAID Q002944 BCBS

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