| Doctor Name: | SIMRA JAVAID |
| NPI Number: | 1073923181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | SL1007 |
| Business Practice Address: | 620 Shadow Lane Las Vegas, NV - 891064194 |
| Business Phone Number: | 7023888436 |
| Business Fax Number: | 7023888431 |
| Mailing Address: | 620 Shadow Lane, LAS VEGAS |
| State: | NV |
| Postal Code: | 891064194 |
| Phone Number: | 7023888436 |
| Fax Number: | 7023888431 |
| NPI Enumeration Date: | 04/29/2014 |
| NPI Last Update Date: | 04/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | SL1007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |