Provider Demographics
NPI:1083186845
Name:JAWEED, MAIMOONA ANJUM
Entity Type:Individual
Prefix:
First Name:MAIMOONA ANJUM
Middle Name:
Last Name:JAWEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 ALBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4505
Mailing Address - Country:US
Mailing Address - Phone:408-329-4491
Mailing Address - Fax:
Practice Address - Street 1:1005 DR. D.B. TODD,JR. BLVD
Practice Address - Street 2:OLD HOSPITAL ROOM 342
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-327-5973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program