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Individual

ABDUL WASAY RAIF JAWID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1401 E 31ST ST, OAKLAND, CA 94602
(510) 347-4141
Mailing address
1901 W KETTLEMAN LN, LODI, CA 95242-4337
(209) 334-8540

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A140424
CA

Other

Enumeration date
07/24/2013
Last updated
10/02/2018
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