Provider Demographics
NPI:1194308593
Name:WANI, JAVID (PHD)
Entity type:Individual
Prefix:DR
First Name:JAVID
Middle Name:
Last Name:WANI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:5600 S WILLOW DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4721
Mailing Address - Country:US
Mailing Address - Phone:281-301-5892
Mailing Address - Fax:281-377-4445
Practice Address - Street 1:5600 S WILLOW DR STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4721
Practice Address - Country:US
Practice Address - Phone:281-301-5892
Practice Address - Fax:281-377-4445
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2021-09-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician