Provider Demographics
NPI:1780849117
Name:JAHADI, MOHAMMAD (DC)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:
Last Name:JAHADI
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 1:901 CYPRESS CREEK RD
Mailing Address - Street 2:SUITE: 200
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3998
Mailing Address - Country:US
Mailing Address - Phone:512-531-9100
Mailing Address - Fax:512-918-9100
Practice Address - Street 1:901 CYPRESS CREEK RD
Practice Address - Street 2:SUITE: 200
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3998
Practice Address - Country:US
Practice Address - Phone:512-531-9100
Practice Address - Fax:512-918-9100
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10826111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor