Individual
FARHAT MAWLAVIZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 729-2819
(408) 928-7092
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2832
(510) 597-9247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
10/04/2018
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