Provider Demographics
NPI:1285076893
Name:BHAWAL, JAVERIA (MD)
Entity type:Individual
Prefix:DR
First Name:JAVERIA
Middle Name:
Last Name:BHAWAL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 ROSWELL RD STE 208
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8810
Mailing Address - Country:US
Mailing Address - Phone:470-357-6226
Mailing Address - Fax:866-531-8092
Practice Address - Street 1:3901 ROSWELL RD STE 208
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8810
Practice Address - Country:US
Practice Address - Phone:470-357-6226
Practice Address - Fax:866-531-8092
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS74143207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology