Most Relevant Information
Provider Data
| NPI Number: | 1003667916 |
| Provider Name: | JAWAD AHMAD DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2024 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
4170 CITY AVE
PHILADELPHIA
PA
191311694
Practice Location Phone/Fax
| Phone: | 2158716100 |
| Fax: |
Provider Mailing Location
20511 34TH AVE
BAYSIDE
NY
113611241
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |