Provider Demographics
NPI:1578870937
Name:NAWEED, JAWEED AHMAD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAWEED
Middle Name:AHMAD
Last Name:NAWEED
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 1:50 BERKELEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2104
Mailing Address - Country:US
Mailing Address - Phone:510-384-8653
Mailing Address - Fax:510-588-5598
Practice Address - Street 1:332 19TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3406
Practice Address - Country:US
Practice Address - Phone:510-384-8653
Practice Address - Fax:510-588-5598
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor