Individual provider · Type 1 NPI

Javad Shirvanian, MD

Student in an Organized Health Care Education/Training Program · Bayonne, NJ

NPI number 1255095683 Active

Practice location

29 E 29th St
Bayonne, NJ 07002-4654

Call (201) 858-6594 Map

Fax (201) 716-3951

Mailing address

76 High St
Lewiston, ME 04240-7649

Other practice locations

  • 76 High St, Lewiston, ME 04240-7649 · (207) 795-2800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255095683

Javad Shirvanian, MD's National Provider Identifier is 1255095683, issued on Oct 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bayonne, NJ. The record was last updated on Jun 25, 2025.