Monzavifar, Javad

Monzavifar, Javad is an individual health care provider with primary practice located at 200 Hawthorne Ln , Charlotte NC 28204-2515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Monzavifar, Javad can be contacted via phone (704) 384-5416.

Contact Information

Primary practice address
200 Hawthorne Ln Charlotte NC 28204-2515
Phone: (704) 384-5416
Fax: (704) 384-5992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200300504 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 200300504 North Carolina

Profile Details

NPI number 1790751386
LBN Legal business name Monzavifar, Javad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 28th, 2020 - about 5 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 1790751386 NPPES
North Carolina MEDICAID 5903652

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