Organization
BAY WELL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANWAL QIDWAI MD (MEDICAL DIRECTOR)
(713) 449-3536
Entity
Organization
Contact information
Practice address
700 ADELINE ST, OAKLAND, CA 94607-2608
(713) 449-3536
Mailing address
700 ADELINE ST, OAKLAND, CA 94607-2608
(713) 449-3536
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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