Individual provider · Type 1 NPI
Mohammad Ali Javed, DO
Vascular Surgery Physician · Bridgeton, MO
NPI number
1215280490
Active
Practice location
12303 De Paul Dr
Bridgeton, MO 63044-2512
Mailing address
1145 Corporate Lake Dr
St. Louis, MO 63132-2907
Other practice locations
- 300 1st Capitol Dr, St. Charles, MO 63301-2844 · (636) 947-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MB09792800 (NJ) |
| Vascular Surgery Physician Primary | 2086S0129X | 2021031240 (MO) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1215280490
Mohammad Ali Javed, DO's National Provider Identifier is 1215280490, issued on Oct 24, 2012. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Bridgeton, MO. The record was last updated on Aug 5, 2021.