Provider Demographics
NPI:1851533780
Name:NAVID, NEGAR (DC)
Entity Type:Individual
Prefix:
First Name:NEGAR
Middle Name:
Last Name:NAVID
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 16TH ST STE 1300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5215
Mailing Address - Country:US
Mailing Address - Phone:158-716-4574
Mailing Address - Fax:
Practice Address - Street 1:2329A EAGLE AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1408
Practice Address - Country:US
Practice Address - Phone:510-769-0125
Practice Address - Fax:510-769-0143
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00672700111N00000X
CADC31513111N00000X
COCHR0007163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor