Pooria Javadi, M.D. Valid NPI

Individual provider · Diagnostic Radiology Physician · Normal, IL

NPI

1114169893

Type

Individual (Type 1)

Primary specialty

Diagnostic Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0202X

License number

36.141476 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2009-03-27

Last updated

2017-02-02