| Doctor Name: | DR. NUSRAT JAVAID |
| NPI Number: | 1063501591 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301056997 |
| Business Practice Address: | 9171 Lapeer Rd Ste 100 Davison, MI - 484233617 |
| Business Phone Number: | 8104412559 |
| Business Fax Number: | 8104125593 |
| Mailing Address: | 9171 Lapeer Rd, Ste 100 DAVISON |
| State: | MI |
| Postal Code: | 484233617 |
| Phone Number: | 8104412559 |
| Fax Number: | 8104125593 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 03/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207PP0204X |
| License Number: | 4301056997 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |