NPIMap

Organization Active NPI

Farrukh Javaid MD PLLC

  • Internal Medicine Physician
  • Puyallup, WA
National Provider Identifier
1790739498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FARRUKH JAVAID MD PLLC
Practice address
11102 Sunrise Blvd E
Suite 109
Puyallup, WA 98374-8846
Phone
(253) 845-0545
Fax
(253) 845-4733
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Farrukh Javaid, MDNPI 1922094036
Title
Owner
Phone
(253) 845-0545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X WA Primary

Addresses

Primary practice location

11102 Sunrise Blvd E
Suite 109
Puyallup, WA 98374-8846

Mailing address

11102 Sunrise Blvd E
Suite 109
Puyallup, WA 98374-8846
Phone (253) 845-0545

National Provider Directory

National Provider Directory

Locations

11102 Sunrise Blvd E
Ste 109
Puyallup, WA 98374
Phone (253) 845-0545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790739498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11102 SUNRISE BLVD E",
            "address_2": "SUITE 109",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748846",
            "telephone_number": "253-845-0545",
            "fax_number": "253-845-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11102 SUNRISE BLVD E",
            "address_2": "SUITE 109",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748846",
            "telephone_number": "253-845-0545",
            "fax_number": "253-845-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRUKH JAVAID MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAVAID",
        "authorized_official_first_name": "FARRUKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-845-0545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.