Provider Demographics
NPI:1932112422
Name:PARVEEN-JAWADI, NUZHATH (MD)
Entity Type:Individual
Prefix:DR
First Name:NUZHATH
Middle Name:
Last Name:PARVEEN-JAWADI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HOSPITAL LOOP NE
Mailing Address - Street 2:SUITE#206
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2129
Mailing Address - Country:US
Mailing Address - Phone:505-855-6006
Mailing Address - Fax:505-855-6009
Practice Address - Street 1:101 HOSPITAL LOOP NE
Practice Address - Street 2:SUITE#206
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2129
Practice Address - Country:US
Practice Address - Phone:505-855-6006
Practice Address - Fax:505-855-6009
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM92-327208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMBCBS NM012712OtherBCBS
NMF6744Medicaid
NMLOVELACE SALUD116OtherLOVELACE SALUD
NMPROVP15552OtherMOLINA
NMLOVELACE SALUD116OtherLOVELACE SALUD