Doctor Name: | MR. JAWED M MOVANIA |
NPI Number: | 1447258553 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 31578 |
Business Practice Address: | 700 W Lincoln Trail Blvd Radcliff, KY - 401602604 |
Business Phone Number: | 2703513192 |
Business Fax Number: | 2703515499 |
Mailing Address: | 700 W Lincoln Trail Blvd, RADCLIFF |
State: | KY |
Postal Code: | 401602604 |
Phone Number: | 2703513192 |
Fax Number: | 2703515499 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0401X |
License Number: | 31578 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |