Individual
JAVID J JAVIDAN-NEJAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 COYLE AVENUE, SUITE 301, CARMICHAEL, CA 95608-6337
(916) 961-2514
(916) 961-1182
Mailing address
3400 DATA DRIVE, CREDENTIALING DEPARTMENT, RANCHO GORDOVA, CA 95670-7956
(916) 734-5154
(916) 734-8094
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A83658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A836580
—
CA
Enumeration date
12/13/2005
Last updated
12/20/2013
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