Provider Demographics
NPI:1891333951
Name:NAVEED, HUMAIZA
Entity Type:Individual
Prefix:
First Name:HUMAIZA
Middle Name:
Last Name:NAVEED
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 1:4737 THORNTON AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6448
Mailing Address - Country:US
Mailing Address - Phone:510-401-7246
Mailing Address - Fax:
Practice Address - Street 1:4737 THORNTON AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6462
Practice Address - Country:US
Practice Address - Phone:510-401-7246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-19
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty