Provider Demographics
NPI:1407310386
Name:AZIZI, HEWAD SAYED (DC)
Entity Type:Individual
Prefix:DR
First Name:HEWAD
Middle Name:SAYED
Last Name:AZIZI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11715 BOWMAN GREEN DR LOWR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3568
Mailing Address - Country:US
Mailing Address - Phone:703-689-2300
Mailing Address - Fax:
Practice Address - Street 1:11715 BOWMAN GREEN DR
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3507
Practice Address - Country:US
Practice Address - Phone:703-689-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-557547111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor