Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD.35945 | AL |
Y | 207QS0010X | Family Doctor - Sports Medicine | DR.0060410 | CO |
NPI | 1255747861 |
---|---|
Provider Name | Dr. Avani V Javer |
First Address | Denver, CO 80247-1314 |
Second Address | Lone Tree, CO 80124-5425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2014 |
Last Update Date | 11/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028896 | KAISER COMMERCIAL NUMBER (01) | CO |
9000165379 | (05) | CO |