Basic Information
Provider Information
NPI: 1588950075
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAVED
FirstName: ARSHAD
MiddleName: ALI
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 N SUMMIT ST FL 7
Address2:  
City: TOLEDO
State: OH
PostalCode: 436041531
CountryCode: US
TelephoneNumber: 4198423000
FaxNumber: 4198423047
Practice Location
Address1: 2940 N MCCORD RD
Address2:  
City: TOLEDO
State: OH
PostalCode: 436151753
CountryCode: US
TelephoneNumber: 4198423000
FaxNumber: 4198423047
Other Information
ProviderEnumerationDate: 06/22/2011
LastUpdateDate: 12/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X35.139684OHY Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X71638WIN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207R00000X4301098687MIN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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