Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | C10005112 | DE |
NPI | 1114963626 |
---|---|
Provider Name | Dr. Sheerin Javed |
First Address | Newark, DE 19713-2146 |
Second Address | Newark, DE 19713-2146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000041181 | (05) | DE |
G56725 | (02) | DE |