Provider Demographics
NPI:1528446119
Name:MAHMOOD, JAVARIA (MBBS)
Entity type:Individual
Prefix:DR
First Name:JAVARIA
Middle Name:
Last Name:MAHMOOD
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:148 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2505
Mailing Address - Country:US
Mailing Address - Phone:781-453-3777
Mailing Address - Fax:617-754-8632
Practice Address - Street 1:148 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2505
Practice Address - Country:US
Practice Address - Phone:781-453-3777
Practice Address - Fax:617-754-8632
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA294814208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist