JAVEL GRANADOS MD – NPI #1518074517
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JAVEL GRANADOS is a physician located in SOUTHAVEN, MS. NPPES has assigned the NPI number 1518074517 to JAVEL GRANADOS on August 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAVEL GRANADOS below.

NPI Profile for
JAVEL GRANADOS

NPI Number
1518074517
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAVEL GRANADOS
Credentials
MD
Primary location
7276 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Phone: (662) 349-6577 Fax: (662) 349-6562
Mailing address
104 COURT ST
SENATOBIA, MS 38668
Phone: (662) 562-4418 Fax: (662) 562-9024
Sole Proprietor
No
Updated
Identifiers

Identifiers for JAVEL GRANADOS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS00122207
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MS 16287

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.