Doctor Name: | DR. MUHAMMAD JAWAD POPALZAI |
NPI Number: | 1003051871 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1400 Pin Oak Drive Carterville, IL - 62918 |
Business Phone Number: | 6189853333 |
Business Fax Number: | 6189851318 |
Mailing Address: | Po Box 1105, INDIANAPOLIS |
State: | IN |
Postal Code: | 462061105 |
Phone Number: | 6184575200 |
Fax Number: | 6183514821 |
NPI Enumeration Date: | 12/09/2008 |
NPI Last Update Date: | 02/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |